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TweetReach for #mcip11
                    Reached 20,622 people via 404 tweets
                                     Searching maximum tweets permitted by Twitter


                   Tweet Types                                            Exposure: 331,319 Impressions




                                                                     Each pie slice shows how many people saw how many tweets


                                                                                                  Impressions Contributed by
AlisynGayle: RT @PalliativeMed_j: RT @renee_berry: RT @TheRedElm: The                                    48 Twitterers
Neuroscience of Mindfulness by David Rock http://ow.ly/44TOs #mcip11 cc                           renee_berry                   140,458
@BradHStuart #wisdom2conf                                                                         brimcmike                      47,960
Wed, 02 Mar 2011 02:58:25 +0000
                                                                                                  PracticalWisdom                36,322
                                                                                                  ctsinclair                     19,514
AlisynGayle: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John                       emacartney                     18,885
Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing                         jodyms                         11,574
immune system                                                                                     westr                           9,100
Tue, 01 Mar 2011 07:49:50 +0000
                                                                                                  PaloAltoMedical                 9,008
                                                                                                  nhdd                            5,053
fbfukushima: RT @PalliativeMed_j: RT @Pallimed: "Pain Can Kill" article from                      Pallimed                        4,516
1991 John Liebeskind http://ow.ly/44TB2 #mcip11 #hpm talks about pain                             Kaviraj2                        3,678
suppressing immune system                                                                         enochchoi                       3,431
Mon, 28 Feb 2011 22:59:04 +0000
                                                                                                  suzanakm                        2,640
                                                                                                  carlaaxt                        2,430
aeolc: RT @renee_berry: 'we must move the focus of care out of the hospital &                     CAPCpalliative                  2,035
in to the community so people dont have to be patients' @BradHStuart #hpm                         DianeEMeier                     1,452
#hcr #mcip11                                                                                      millspeninsula                  1,380
Mon, 28 Feb 2011 21:09:03 +0000
                                                                                                  AlisynGayle                     1,376
                                                                                                  hcsmSV                          1,117
enochchoi: RT @emacartney: @carlaaxt: #mcip11 is an #hpm event at                                 napernurse                      1,090
@paloaltomedical 2day w/ Sutter VNA & Hospice & @millspeninsula also                              DrDignity                        782
presenting http://ow.ly/440By                                                                     richland51                       758
Mon, 28 Feb 2011 05:51:48 +0000
                                                                                                  hollyby                          710
                                                                                                  visiting_nurse                   692
dspacl: RT @nhdd: Doris Hawks JD talks about how advance directives                               comalliwrites                    532
can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11                        LVADone                          484
Sun, 27 Feb 2011 19:52:42 +0000
                                                                                                  brigid22                         452
                                                                                                  ewidera                          417
dspacl: RT @nhdd: "care is always provided, intervention can be refused"                          erigentry                        400
Doris Hawks JD #HaveTheTalk #hpm #mcip11                                                          SanBrunoCal                      322
Sun, 27 Feb 2011 19:52:14 +0000
                                                                                                  drpippa                          316
                                                                                                  dspacl                           314
Kaviraj2: RT @nhdd: "when you listen, really listen not just with your ears,                      peds_id_doc                      312
watch your own body & be @ the same side of the table" @BradHStuart                               klxmedia                         301
#mcip11...                                                                                        Nurse2103                        280
Sun, 27 Feb 2011 18:18:19 +0000
                                                                                                  LisaDMorgan                      222
                                                                                                  s_eller                          208
renee_berry: RT @nhdd: "care is always provided, intervention can be refused"                     GetPalliative                    189
Doris Hawks JD #HaveTheTalk #hpm #mcip11                                                          dmteachey1                       188
Sun, 27 Feb 2011 17:52:44 +0000
                                                                                                  PalMedConnect                    147
jen_c_taylor    82
renee_berry: RT @nhdd: Doris Hawks JD talks about how advance directives          doctatum        70
can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11        DoctorGirardi   36
Sun, 27 Feb 2011 17:52:19 +0000                                                   Kaffeedog       28
                                                                                  ellenklem       24
renee_berry: RT @nhdd: "when you listen, really listen not just with your ears,   fbfukushima     22
watch your own body & be @ the same side of the table" @BradHStuart               Cure_MTM        9
#mcip11...                                                                        aeolc           3
Sun, 27 Feb 2011 17:51:23 +0000



renee_berry: RT @Pallimed: RT @NHDD: 'if your patient brings in an advance
directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11
Sun, 27 Feb 2011 17:48:30 +0000



suzanakm: RT @renee_berry: 'we must move the focus of care out of the
hospital & in to the community so people dont have to be patients'
@BradHStuart #hpm #hcr #mcip11
Sun, 27 Feb 2011 07:40:54 +0000



suzanakm: RT @renee_berry: 'Only 37% of MDs give frank prognostication
disclosure even when a patient requested a survival estimate' Tapper MD
#hpm #epatient #mcip11
Sun, 27 Feb 2011 07:36:17 +0000



fbfukushima: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John
Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing
immune system
Sun, 27 Feb 2011 05:13:06 +0000



napernurse: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John
Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing
immune system
Sun, 27 Feb 2011 02:06:01 +0000



suzanakm: RT @renee_berry: 'our bodies evolve the pain pathway to survive'
Brennan MD #hpm #mcip11 -example of neuroplasticity
Sun, 27 Feb 2011 01:55:48 +0000



suzanakm: RT @renee_berry: Bishop MD on @DianeEMeier 's advocacy w/
#hcr #mcip11
Sun, 27 Feb 2011 01:54:04 +0000



westr: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John
Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing
immune system
Sun, 27 Feb 2011 01:36:49 +0000



brimcmike: RT @Pallimed: "Pain Can Kill" article from 1991 John Liebeskind
http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune
system
Sun, 27 Feb 2011 00:43:36 +0000



DianeEMeier: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John
Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing
immune system
Sun, 27 Feb 2011 00:14:09 +0000



hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John Liebeskind
http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune
system
Sun, 27 Feb 2011 00:02:48 +0000
klxmedia: RT @renee_berry: "when you can't cure, healing is all you have"
@BradHStuart #hospice #hpm #mcip11
Sat, 26 Feb 2011 23:00:05 +0000



jen_c_taylor: Thanks @renee_berry for your #tsweet coverage of #mcip11::: RT
"start the discussions early" - @BradHStuart #HaveTheTalk
Sat, 26 Feb 2011 22:58:40 +0000



LVADone: RT @nhdd: 'everybody is selective in what they tell you' Doris
Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 22:35:19 +0000



LVADone: RT @Pallimed: "Pain Can Kill" article from 1991 John Liebeskind
http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune
system
Sat, 26 Feb 2011 22:34:54 +0000



CAPCpalliative: RT @nhdd: "when you listen, really listen not just with your
ears, watch your own body & be @ the same side of the table" @BradHStuart
#mcip11...
Sat, 26 Feb 2011 22:34:00 +0000



CAPCpalliative: RT @renee_berry: 'we must move the focus of care out of the
hospital & in to the community so people dont have to be patients'
@BradHStuart #hpm #hcr #mcip11
Sat, 26 Feb 2011 22:33:01 +0000



CAPCpalliative: RT @ctsinclair: RT @NHDD: 'when the patient looses
capacity (as decided by the MD), you are not required to neuro-psych
evaluation' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 22:31:05 +0000



CAPCpalliative: RT @Pallimed: RT @NHDD: 'if your patient brings in an
advance directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 22:29:49 +0000



CAPCpalliative: RT @GetPalliative: RT @renee_berry "we're in an era now
where people realize we need to care for advance illness management" -
@BradHStuart #mcip11 #palliative
Sat, 26 Feb 2011 22:29:21 +0000



LisaDMorgan: RT @renee_berry: 'Only 37% of MDs give frank prognostication
disclosure even when a patient requested a survival estimate' Tapper MD
#hpm #epatient #mcip11
Sat, 26 Feb 2011 21:51:11 +0000



LisaDMorgan: RT @GetPalliative: RT @renee_berry "we're in an era now
where people realize we need to care for advance illness management" -
@BradHStuart #mcip11 #palliative
Sat, 26 Feb 2011 21:48:39 +0000



LisaDMorgan: RT @Pallimed: "Pain Can Kill" article from 1991 John
Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing
immune system
Sat, 26 Feb 2011 21:48:25 +0000



millspeninsula: Thank you to everyone who participated in the #mcip11 live
session today on twitter. Your #hpm sharing was amazing & very much
appreciated!
Sat, 26 Feb 2011 20:56:29 +0000



PaloAltoMedical: Thank you, all! This concludes the live #mcip11 session, but
hopefully these amazing conversations will continue on throughout the week!:)
Sat, 26 Feb 2011 20:54:26 +0000



PracticalWisdom: Best Practice:RT @Pallimed: RT @NHDD: if your patient
brings in an advance directive, review it Doris Hawks JD #HaveTheTalk #hpm
#mcip11
Sat, 26 Feb 2011 20:19:05 +0000



Pallimed: RT @NHDD: 'if your patient brings in an advance directive, review it'
Doris Hawks JD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 20:18:01 +0000



brimcmike: RT @renee_berry: breathtaking to hear each panelist discuss their
personal stories w/advance care planning & their families #mcip11
Sat, 26 Feb 2011 20:15:06 +0000



brimcmike: RT @renee_berry: yay they took it! (though not skilled enough
tweeter to put these stories into 140characters) #mcip11
Sat, 26 Feb 2011 20:14:36 +0000



brimcmike: RT @renee_berry: fingers crossed the panel takes my question... to
all of them, please speak to your experience in completing your advance
directive #mcip11
Sat, 26 Feb 2011 20:14:20 +0000



brimcmike: RT @renee_berry: (clinicians) 'work with the ethics committee &
palliative care teams, let them help you' Hawks JD #mcip11
Sat, 26 Feb 2011 20:14:10 +0000



brimcmike: RT @renee_berry: 'make sure that the agent knows that they have
been selected' Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 20:13:55 +0000



brimcmike: RT @renee_berry: 'we owe it to our patients to be clear' Bishop MD
#mcip11
Sat, 26 Feb 2011 20:13:48 +0000



brimcmike: RT @renee_berry: 'focus on informed medical decision making'
Tapper MD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 20:13:42 +0000



brimcmike: RT @renee_berry: "start the discussions early" - @BradHStuart
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 20:13:29 +0000



brimcmike: RT @renee_berry: " @DianeEMeier is really a champion of
#palliative care" - @BradHStuart #mcip11
Sat, 26 Feb 2011 20:13:21 +0000



emacartney: RT @renee_berry: breathtaking to hear each panelist discuss their
personal stories w/advance care planning & their families #mcip11
Sat, 26 Feb 2011 20:13:18 +0000



brimcmike: RT @renee_berry: "we are about clarifying goals" Morris MD MPH
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 20:13:12 +0000



PracticalWisdom: @renee_berry: Didn't expect you to get a magic
http://bit.ly/eUrUNY. Ask them to tell their story in 140? #mcip11
Sat, 26 Feb 2011 20:10:59 +0000
renee_berry: @PracticalWisdom they are, but i'll have to blog it, trying to figure
out how to do these kinds of stories in 140 sorry to tease! #mcip11
Sat, 26 Feb 2011 20:07:22 +0000



PracticalWisdom: Do they share w/Pt's?RT @renee_berry: breathtaking 2 hear
panelist discuss personal stories w/advance care planning/their families
#mcip11
Sat, 26 Feb 2011 20:06:21 +0000



renee_berry: breathtaking to hear each panelist discuss their personal stories
w/advance care planning & their families #mcip11
Sat, 26 Feb 2011 20:04:47 +0000



comalliwrites: RT @renee_berry: RT @TheRedElm: The Neuroscience of
Mindfulness by David Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart
#wisdom2conf
Sat, 26 Feb 2011 20:03:44 +0000



brimcmike: RT @renee_berry: "you must talk with people about what they want
& it almost always is staying out of the hospital" @BradHStuart #HaveTheTalk
#hpm #mcip11
Sat, 26 Feb 2011 20:03:18 +0000



PracticalWisdom: @renee_berry Fingers Crossed your question will be taken.
Wonder if we might get a surprise? #mcip11
Sat, 26 Feb 2011 20:02:25 +0000



renee_berry: yay they took it! (though not skilled enough tweeter to put these
stories into 140characters) #mcip11
Sat, 26 Feb 2011 20:02:03 +0000



renee_berry: fingers crossed the panel takes my question... to all of them,
please speak to your experience in completing your advance directive #mcip11
Sat, 26 Feb 2011 20:00:26 +0000



PracticalWisdom: RT @renee_berry: (clinicians) work with the ethics
committee & palliative care teams, let them help you Hawks JD #mcip11
Sat, 26 Feb 2011 19:58:03 +0000



renee_berry: (clinicians) 'work with the ethics committee & palliative care
teams, let them help you' Hawks JD #mcip11
Sat, 26 Feb 2011 19:55:35 +0000



emacartney: RT @renee_berry: 'focus on informed medical decision making' -
Tapper MD #HaveTheTalk (spkg at #mcip11)
Sat, 26 Feb 2011 19:53:52 +0000



brigid22: RT @renee_berry: 'make sure that the agent knows that they have
been selected' Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:53:51 +0000



renee_berry: 'make sure that the agent knows that they have been selected'
Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:53:20 +0000



emacartney: RT @renee_berry: "start the discussions early" - @BradHStuart
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:53:14 +0000



renee_berry: 'we owe it to our patients to be clear' Bishop MD #mcip11
Sat, 26 Feb 2011 19:52:23 +0000
renee_berry: 'focus on informed medical decision making' Tapper MD
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:50:08 +0000



renee_berry: RT @nhdd: "Legal forms hard to understand & do not provide
useful guidance" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:49:34 +0000



renee_berry: "start the discussions early" - @BradHStuart #HaveTheTalk
#mcip11
Sat, 26 Feb 2011 19:48:57 +0000



Kaffeedog: RT @nhdd: "Legal forms hard to understand & do not provide useful
guidance" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:48:52 +0000



renee_berry: " @DianeEMeier is really a champion of #palliative care" -
@BradHStuart #mcip11
Sat, 26 Feb 2011 19:48:08 +0000



renee_berry: "we are about clarifying goals" Morris MD MPH #HaveTheTalk
#mcip11
Sat, 26 Feb 2011 19:47:07 +0000



renee_berry: "you must talk with people about what they want & it almost
always is staying out of the hospital" @BradHStuart #HaveTheTalk #hpm
#mcip11
Sat, 26 Feb 2011 19:45:55 +0000



brimcmike: RT @renee_berry: "discuss goals of care early on" Aggarwal MD
#HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:44:27 +0000



brimcmike: RT @renee_berry: We need to tell our story... What was it like to do
your advance directive? Our stories effect public policy, don't wait for others
#mcip11
Sat, 26 Feb 2011 19:44:15 +0000



brimcmike: RT @renee_berry: Bishop MD discussing @AAHPM Public Policy
meeting from last week #hpm #mcip11
Sat, 26 Feb 2011 19:44:09 +0000



brimcmike: RT @renee_berry: Roundtable Discussion w/ Experts Tapper MD,
@BradHStuart Brennan MD, Morris, MD MPH, Hawks JD, Bishop MD,
Aggarwal MD #mcip11
Sat, 26 Feb 2011 19:43:55 +0000



brigid22: RT @renee_berry: "discuss goals of care early on" Aggarwal MD
#HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:43:28 +0000



renee_berry: "discuss goals of care early on" Aggarwal MD #HaveTheTalk
#hpm #mcip11
Sat, 26 Feb 2011 19:41:47 +0000



renee_berry: We need to tell our story... What was it like to do your advance
directive? Our stories effect public policy, don't wait for others #mcip11
Sat, 26 Feb 2011 19:40:59 +0000



renee_berry: something I didn't hear that I am weighing raising my hand about
health policy question & advance care planning #mcip11
Sat, 26 Feb 2011 19:40:10 +0000



renee_berry: Bishop MD discussing @DianeEMeier 's advocacy w/health
policy #mcip11
Sat, 26 Feb 2011 19:37:13 +0000



renee_berry: Bishop MD discussing @AAHPM Public Policy meeting from last
week #hpm #mcip11
Sat, 26 Feb 2011 19:36:09 +0000



renee_berry: Roundtable Discussion w/ Experts Tapper MD, @BradHStuart
Brennan MD, Morris, MD MPH, Hawks JD, Bishop MD, Aggarwal MD #mcip11
Sat, 26 Feb 2011 19:35:41 +0000



brimcmike: RT @nhdd: "who should have a POLST? People with chronic
progressive illnesses, serious health condition, medically frail" Doris Hawks JD
#mcip11
Sat, 26 Feb 2011 19:30:55 +0000



brimcmike: RT @nhdd: 'everyone who is 18+ should have an advance
directive, not every one needs a POLST' Doris Hawks JD #HaveTheTalk
#mcip11
Sat, 26 Feb 2011 19:30:38 +0000



brimcmike: RT @nhdd: 'advance directives can help docs convert patient goals
into a POLST forms' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:30:20 +0000



brimcmike: RT @nhdd: 'if your patient brings in an advance directive, review it'
Doris Hawks JD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:30:12 +0000



brimcmike: RT @nhdd: Doris Hawks JD talks about how advance directives
can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:30:06 +0000



brimcmike: RT @nhdd: 'can't eliminate the ambivalence of what it's like to do
your own' Doris Hawks JD #HaveTheTalk Early... Lets start w/ourselves
#mcip11
Sat, 26 Feb 2011 19:29:53 +0000



brimcmike: RT @nhdd: "people change their minds" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:29:42 +0000




brimcmike: RT @nhdd: "Legal forms hard to understand & do not provide useful
guidance" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:29:37 +0000



brimcmike: RT @nhdd: "Most people don't do an AHCD" Doris Hawks JD
#mcip11
Sat, 26 Feb 2011 19:29:24 +0000



brimcmike: RT @nhdd: "What is POLST? Physician Orders for Life Sustaining
Treatment" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:29:09 +0000



brimcmike: RT @nhdd: "care is always provided, intervention can be refused"
Doris Hawks JD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:29:02 +0000



brimcmike: RT @nhdd: 'an oral directive can be given by a person who has
capacity' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:28:56 +0000



brimcmike: RT @Pallimed: RT @NHDD: 'it isn't ok if the patient disagrees with
you to then decide that the patient does now lack capacity' Doris Hawks JD
#hpm #mcip11
Sat, 26 Feb 2011 19:28:44 +0000



brimcmike: RT @ctsinclair: RT @NHDD: 'when the patient looses capacity (as
decided by the MD), you are not required to neuro-psych evaluation' Doris
Hawks JD #mcip11
Sat, 26 Feb 2011 19:28:27 +0000



brimcmike: RT @nhdd: 'it can be done on a napkin' Doris Hawks JD
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:28:17 +0000



brimcmike: RT @nhdd: "help the surrogate make the decision best for the
patient" Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:28:06 +0000



nhdd: "who should have a POLST? People with chronic progressive illnesses,
serious health condition, medically frail" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:25:09 +0000



nhdd: "who should have a POLST? People with chronic progressive illnesses,
serious health condition, medically frail" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:25:09 +0000



nhdd: 'everyone who is 18+ should have an advance directive, not every one
needs a POLST' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:23:25 +0000



s_eller: Busy day on Twitter: @salmaansana & #compassion4care,
@holisticnurses & #nyc4women, @renee_berry & #mcip11, @r… (cont)
http://deck.ly/~GYcKV
Sat, 26 Feb 2011 19:20:43 +0000



nhdd: 'advance directives can help docs convert patient goals into a POLST
forms' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:19:35 +0000



ellenklem: RT @nhdd: 'if your patient brings in an advance directive, review it'
Doris Hawks JD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:18:44 +0000



nhdd: Doris Hawks JD talks about how advance directives can’t be a
substitute for discussion of preferences #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:18:40 +0000



nhdd: 'if your patient brings in an advance directive, review it' Doris Hawks JD
#HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:18:02 +0000



nhdd: 'can't eliminate the ambivalence of what it's like to do your own' Doris
Hawks JD #HaveTheTalk Early... Lets start w/ourselves #mcip11
Sat, 26 Feb 2011 19:17:41 +0000



nhdd: "people change their minds" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:16:01 +0000
nhdd: "Legal forms hard to understand & do not provide useful guidance" Doris
Hawks JD #mcip11
Sat, 26 Feb 2011 19:15:46 +0000



nhdd: "Most people don't do an AHCD" Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:15:23 +0000




nhdd: "What is POLST? Physician Orders for Life Sustaining Treatment" Doris
Hawks JD #mcip11
Sat, 26 Feb 2011 19:14:55 +0000



nhdd: "care is always provided, intervention can be refused" Doris Hawks JD
#HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:12:04 +0000



nhdd: 'an oral directive can be given by a person who has capacity' Doris
Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:11:42 +0000



Pallimed: RT @NHDD: 'it isn't ok if the patient disagrees with you to then
decide that the patient does now lack capacity' Doris Hawks JD #hpm #mcip11
Sat, 26 Feb 2011 19:11:02 +0000



ctsinclair: RT @NHDD: 'when the patient looses capacity (as decided by the
MD), you are not required to neuro-psych evaluation' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:10:39 +0000



DrDignity: RT @nhdd: 'you've got to bring it up, you've got to push your doctor
about what you & your family need to know"' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:09:52 +0000



nhdd: 'it can be done on a napkin' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:09:26 +0000




DrDignity: RT @GetPalliative: RT @renee_berry "we're in an era now where
people realize we need to care for advance illness management" -
@BradHStuart #mcip11 #palliative
Sat, 26 Feb 2011 19:08:36 +0000



nhdd: "help the surrogate make the decision best for the patient" Doris Hawks
JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:08:32 +0000



nhdd: 'when the patient looses capacity (as decided by the MD), you are not
required to neuro-psych evaluation' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:07:57 +0000



richland51: RT @Pallimed: RT @renee_berry: “add 6-7min to deal w/
emotions in outpatient, setting 6-7min to change a life/even a systemâ€
@BradHStuart #mcip11
Sat, 26 Feb 2011 19:07:24 +0000



brimcmike: RT @nhdd: 'the agent's job is to make decisions based on the
patient's values & goals' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:06:55 +0000



nhdd: btw.. (still @renee_berry here, switched to @NHDD because this talk is
about advance care planning) #mcip11
Sat, 26 Feb 2011 19:06:45 +0000
brimcmike: RT @nhdd: Doris Hawks JD discussing all of the different terms
associated with advance care planning... a lot #mcip11
Sat, 26 Feb 2011 19:06:29 +0000



brimcmike: RT @nhdd: Doris Hawks JD discusses that choices are discussed
as preferred treatment, but values & goals help gear focus #HaveTheTalk
#hpm #mcip11
Sat, 26 Feb 2011 19:06:20 +0000



brimcmike: RT @nhdd: 'everybody is selective in what they tell you' Doris
Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:06:06 +0000



nhdd: 'the agent's job is to make decisions based on the patient's values &
goals' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:06:03 +0000



brimcmike: RT @nhdd: 'your job as physicians is to determine capacity, but if
you don't capacity is assumed' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:05:32 +0000



brimcmike: RT @GetPalliative: RT @renee_berry "we're in an era now where
people realize we need to care for advance illness management" -
@BradHStuart #mcip11 #palliative
Sat, 26 Feb 2011 19:05:26 +0000



brimcmike: RT @nhdd: 'capacity to consent is complicated but we need to
understand when patients do & don't' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:04:43 +0000



brimcmike: RT @nhdd: 'you've got to bring it up, you've got to push your doctor
about what you & your family need to know"' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:04:35 +0000



nhdd: Doris Hawks JD discussing all of the different terms associated with
advance care planning... a lot #mcip11
Sat, 26 Feb 2011 19:04:18 +0000



brimcmike: RT @nhdd: Important to remember that a condition does not have to
trigger you to #HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:04:13 +0000



brimcmike: RT @ctsinclair: @westr @renee_berry Also important to know that
high dose opioids can be immunosuppressive #mcip11
Sat, 26 Feb 2011 19:03:58 +0000



brimcmike: RT @nhdd: Doris Hawks JD discussing the 'many conditions might
trigger an Advance Care Planning discussion' #mcip11
Sat, 26 Feb 2011 19:03:51 +0000



brimcmike: RT @nhdd: Legal & Ethical Issues in Advance Care Planning:
Patient’s Right to know & POLST w/ Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:03:45 +0000



brimcmike: RT @ctsinclair: RT @renee_berry: @ctsinclair sorry correction my
mistake: Managing Critically Ill Patients (not Chronically) #mcip11 cc
@cure_MTM
Sat, 26 Feb 2011 19:03:25 +0000



nhdd: Doris Hawks JD discusses that choices are discussed as preferred
treatment, but values & goals help gear focus #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 19:02:33 +0000
nhdd: 'everybody is selective in what they tell you' Doris Hawks JD
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 19:01:39 +0000



brimcmike: RT @ctsinclair: RT @renee_berry: ‘sometimes opioids fail’
Brennan MD #hpm "yep. they are not a panacea." #mcip11
Sat, 26 Feb 2011 19:01:26 +0000



brimcmike: RT @westr: LINKS? "RT @renee_berry: poorly controlled #pain
affects immune system" Brennan MD - [yes research to support this] #mcip11"
-@ctsinclair
Sat, 26 Feb 2011 19:01:07 +0000



nhdd: 'it isn't ok that if the patient disagrees with you to then decide that the
patient does now lack capacity' Doris Hawks JD #hpm #mcip11
Sat, 26 Feb 2011 19:01:03 +0000



brimcmike: RT @renee_berry: 'our bodies evolve the pain pathway to survive'
Brennan MD #hpm (I don't know what this means exactly but sounds
interesting) #mcip11
Sat, 26 Feb 2011 19:01:00 +0000



brimcmike: RT @renee_berry: RT @TheRedElm: The Neuroscience of
Mindfulness by David Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart
#wisdom2conf
Sat, 26 Feb 2011 19:00:41 +0000



Pallimed: "Pain Can Kill" article from 1991 John Liebeskind http://bit.ly/fmT2CC
#mcip11 #hpm talks about pain suppressing immune system
Sat, 26 Feb 2011 19:00:17 +0000



brimcmike: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD
#hpm #mcip11
Sat, 26 Feb 2011 19:00:15 +0000



nhdd: 'your job as physicians is to determine capacity, but if you don't capacity
is assumed' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 19:00:09 +0000



GetPalliative: RT @renee_berry "we're in an era now where people realize we
need to care for advance illness management" - @BradHStuart #mcip11
#palliative
Sat, 26 Feb 2011 19:00:03 +0000



erigentry: RT @westr: "Live Tweets Today from "Managing Chronically Ill
Patients 2011" http://ow.ly/43QHQ #mcip11" -via @renee_berry #pm101
#hcsm
Sat, 26 Feb 2011 18:59:40 +0000



nhdd: 'capacity to consent is complicated but we need to understand when
patients do & don't' Doris Hawks JD #HaveTheTalk #mcip11
Sat, 26 Feb 2011 18:59:32 +0000



nhdd: 'you've got to bring it up, you've got to push your doctor about what you &
your family need to know"' Doris Hawks JD #mcip11
Sat, 26 Feb 2011 18:58:57 +0000



westr: "@westr @renee_berry Also important to know that high dose opioids
can be immunosuppressive #mcip11" -via @ctsinclair #pm101
Sat, 26 Feb 2011 18:58:43 +0000
nhdd: Important to remember that a condition does not have to trigger you to
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 18:58:34 +0000



ctsinclair: @westr @renee_berry Also important to know that high dose opioids
can be immunosuppressive #mcip11
Sat, 26 Feb 2011 18:58:05 +0000



nhdd: Doris Hawks JD discussing the 'many conditions might trigger an
Advance Care Planning discussion' #mcip11
Sat, 26 Feb 2011 18:58:00 +0000



nhdd: Legal & Ethical Issues in Advance Care Planning: Patient’s Right to
know & POLST w/ Doris Hawks JD #mcip11
Sat, 26 Feb 2011 18:56:21 +0000



brimcmike: RT @renee_berry: "I know I'm supposed to wrap up, but I'm not
going to because this is really important" Brennan MD :) I love speakers
w/personality #mcip11
Sat, 26 Feb 2011 18:56:04 +0000



emacartney: @carlaaxt: #mcip11 is an #hpm event at @paloaltomedical 2day
w/ Sutter VNA & Hospice & @millspeninsula also presenting http://ow.ly/440By
Sat, 26 Feb 2011 18:55:59 +0000



westr: "Live Tweets Today from "Managing Chronically Ill Patients 2011"
http://ow.ly/43QHQ #mcip11" -via @renee_berry #pm101 #hcsm
Sat, 26 Feb 2011 18:55:51 +0000



brimcmike: RT @renee_berry: 'poorly controlled #pain effects the immune
system" Brennan MD #mcip11
Sat, 26 Feb 2011 18:55:18 +0000



brimcmike: RT @renee_berry: 'rare that patients have a clear allergy to
#morphine - confusion because of itching skin side effect' Morris, MD MPH
#hpm #mcip11
Sat, 26 Feb 2011 18:55:11 +0000



ctsinclair: RT @renee_berry: @ctsinclair sorry correction my mistake:
Managing Critically Ill Patients (not Chronically) #mcip11 cc @cure_MTM
Sat, 26 Feb 2011 18:55:06 +0000



brimcmike: RT @renee_berry: ‘I don’t plan on getting sick until I dieâ€
Morris, MD MPH ... many people can relate, especially our culture :) #hpm
#mcip11
Sat, 26 Feb 2011 18:55:02 +0000



brimcmike: RT @renee_berry: Morris, MD MPH talking about collaboration of
@PaloAltoMedical w/community to build #palliative outpatient services
#awesome #hpm #mcip11
Sat, 26 Feb 2011 18:54:51 +0000



brimcmike: RT @renee_berry: now taking the mic: Morris MD MPH
http://ow.ly/43XHY #hpm #mcip11
Sat, 26 Feb 2011 18:54:44 +0000



renee_berry: @ctsinclair sorry correction my mistake: Managing Critically Ill
Patients (not Chronically) #mcip11
Sat, 26 Feb 2011 18:54:12 +0000



renee_berry: ‘how many of you came to this for pain control? Doris Hawks
JD (only one in audience raised hand) #hpm #mcip11
Sat, 26 Feb 2011 18:53:41 +0000



ctsinclair: RT @renee_berry: Live Tweets Today from "Managing Chronically Ill
Patients 2011" http://ow.ly/43QHQ #mcip11 "thanks for the info"
Sat, 26 Feb 2011 18:53:14 +0000



westr: No real options either! "RT @renee_berry: ‘sometimes opioids
fail’ Brennan MD #hpm "yep. they are not a panacea." #mcip11" -via
@ctsinclair
Sat, 26 Feb 2011 18:52:26 +0000



renee_berry: Legal & Ethical Issues in Advance Care Planning: Patient’s
Right to know & POLST w/ Doris Hawks JD @SantaClaraLaw
http://ow.ly/43XJl #mcip11
Sat, 26 Feb 2011 18:52:23 +0000



renee_berry: Live Tweets Today from "Managing Chronically Ill Patients 2011"
http://ow.ly/43QHQ #mcip11
Sat, 26 Feb 2011 18:51:57 +0000



peds_id_doc: RT @PracticalWisdom: RT @renee_berry:Only 37% MDs give
frank prognost disclosure even when a pt requested survival estimate Tapper
MD #hpm #epatient #mcip11 #hpm
Sat, 26 Feb 2011 18:50:25 +0000



renee_berry: “we (MD's) have to rapidly switch to another opioid (when one
is not working)†Brennan MD #hpm #mcip11
Sat, 26 Feb 2011 18:50:21 +0000



Cure_MTM: @ctsinclair Did you find out what #mcip11 stands for? Hi btw I'm
QM for VistaCare Hospice in SLC, UT
Sat, 26 Feb 2011 18:50:08 +0000



renee_berry: @westr don't have any links for that, any MD's know of clinical
research of poorly controlled pain effecting immune system? #hpm #mcip11
Sat, 26 Feb 2011 18:48:47 +0000



carlaaxt: RT @ctsinclair: RT @renee_berry: ‘sometimes opioids fail’
Brennan MD #hpm "yep. they are not a panacea." #mcip11
Sat, 26 Feb 2011 18:48:33 +0000



ctsinclair: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm
"yep. they are not a panacea." #mcip11
Sat, 26 Feb 2011 18:47:35 +0000



westr: LINKS? "RT @renee_berry: poorly controlled #pain affects immune
system" Brennan MD - [yes research to support this] #mcip11" -@ctsinclair
Sat, 26 Feb 2011 18:46:32 +0000



renee_berry: 'our bodies evolve the pain pathway to survive' Brennan MD
#hpm (I don't know what this means exactly but sounds interesting) #mcip11
Sat, 26 Feb 2011 18:46:28 +0000



renee_berry: RT @TheRedElm: The Neuroscience of Mindfulness by David
Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart #wisdom2conf
Sat, 26 Feb 2011 18:44:22 +0000



westr: Pray to God that's not true.. RT @renee_berry "poorly controlled #pain
effects the immune system" Brennan MD #mcip11
Sat, 26 Feb 2011 18:44:02 +0000
renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm #mcip11
Sat, 26 Feb 2011 18:43:11 +0000




carlaaxt: RT @renee_berry: "when you can't cure, healing is all you have"
@BradHStuart #hospice #hpm #mcip11
Sat, 26 Feb 2011 18:42:46 +0000



carlaaxt: RT @ctsinclair: Hey @renee_berry what is #mcip11? Good tweets.
keep em coming.
Sat, 26 Feb 2011 18:42:21 +0000



DoctorGirardi: RT @hollyby: RT @renee_berry: "patients who have this
discussion are far less likely to be admitted to the ICU" @BradHStuart
#HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 18:42:12 +0000



renee_berry: "I know I'm supposed to wrap up, but I'm not going to because this
is really important" Brennan MD :) I love speakers w/personality #mcip11
Sat, 26 Feb 2011 18:40:59 +0000



ctsinclair: Hey @renee_berry what is #mcip11? Good tweets. keep em coming.
Sat, 26 Feb 2011 18:40:39 +0000




Pallimed: RT @renee_berry: “add 6-7min to deal w/ emotions in outpatient,
setting 6-7min to change a life/even a system†@BradHStuart #mcip11
Sat, 26 Feb 2011 18:40:10 +0000



ctsinclair: RT @renee_berry: poorly controlled #pain affects the immune
system" Brennan MD - [yes there is research to support this] #mcip11
Sat, 26 Feb 2011 18:39:27 +0000



ctsinclair: RT @renee_berry: ‘I don’t plan on getting sick until I dieâ€
Morris, MD MPH ... many people can relate, especially our culture :) #mcip11
Sat, 26 Feb 2011 18:39:02 +0000



PalMedConnect: RT @renee_berry: 'poorly controlled #pain effects the
immune system" Brennan MD #mcip11
Sat, 26 Feb 2011 18:34:29 +0000



renee_berry: 'poorly controlled #pain effects the immune system" Brennan MD
#mcip11
Sat, 26 Feb 2011 18:30:55 +0000



renee_berry: 'rare that patients have a clear allergy to #morphine - confusion
because of itching skin side effect' Morris, MD MPH #hpm #mcip11
Sat, 26 Feb 2011 18:28:02 +0000



renee_berry: ‘I don’t plan on getting sick until I die†Morris, MD MPH ...
many people can relate, especially our culture :) #hpm #mcip11
Sat, 26 Feb 2011 18:25:38 +0000



emacartney: RT @drpippa: RT @renee_berry: "when you can't cure, healing is
all you have" - @BradHStuart spkg at #mcip11 #hospice #hpm
Sat, 26 Feb 2011 18:25:35 +0000



renee_berry: Morris, MD MPH talking about collaboration of @PaloAltoMedical
w/community to build #palliative outpatient services #awesome #hpm #mcip11
Sat, 26 Feb 2011 18:25:06 +0000



renee_berry: now taking the mic: Morris MD MPH http://ow.ly/43XHY #hpm
#mcip11
Sat, 26 Feb 2011 18:24:00 +0000



renee_berry: RT @emacartney: RT @jodyms RT @westr: Well-said! RT
@renee_berry #Pain is what the patient reports, not what we think it looks like -
via Brennan MD #mcip11
Sat, 26 Feb 2011 18:22:35 +0000



PaloAltoMedical: RT @nhdd: RT @renee_berry: "treatment goals should follow
patient's personal goals" - @BradHStuart #HaveTheTalk at #mcip11
Sat, 26 Feb 2011 18:19:47 +0000



drpippa: RT @renee_berry: "when you can't cure, healing is all you have"
@BradHStuart #hospice #hpm #mcip11
Sat, 26 Feb 2011 18:18:49 +0000



emacartney: RT @jodyms RT @westr: Well-said! RT @renee_berry #Pain is
what the patient reports, not what we think it looks like - via Brennan MD
#mcip11
Sat, 26 Feb 2011 18:17:01 +0000



emacartney: @jodyms And to you too! Your voice & advocacy in cancer care,
women's health & #hpm is profound! Thank you for joining in #mcip11 today.
Sat, 26 Feb 2011 18:16:16 +0000



Nurse2103: RT @renee_berry: "when you can't cure, healing is all you have"
@BradHStuart #hospice #hpm #mcip11
Sat, 26 Feb 2011 18:15:54 +0000



Nurse2103: RT @renee_berry: "I find it best to be as honest, open, connected
& compassionate as I can possibly be" @BradHStuart #mcip11
Sat, 26 Feb 2011 18:15:45 +0000



Nurse2103: RT @renee_berry: " 90% of people want to know the truth"
@BradHStuart #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 18:15:38 +0000



Nurse2103: RT @renee_berry: "when you listen, really listen, not just with your
ears, watch your own body & be @ the same side of the table" @BradHStuart
#mcip11
Sat, 26 Feb 2011 18:15:33 +0000



Nurse2103: RT @renee_berry: “in other words it’s about listeningâ€
@BradHStuart #mcip11
Sat, 26 Feb 2011 18:15:24 +0000



renee_berry: Thanks for staying with me, Brennan MD discussing clinical
aspects of pain management (tweet break) will keep ears open for nuggets
#mcip11
Sat, 26 Feb 2011 18:14:20 +0000



hcsmSV: RT @nhdd: RT @renee_berry: "treatment goals should follow
patient's personal goals" @BradHStuart #HaveTheTalk (spkg at #mcip11)
Sat, 26 Feb 2011 18:11:10 +0000



jodyms: RT @westr: Well-said! RT @renee_berry #Pain is what the patient
reports, not what we think it looks like via Brennan MD #mcip11
Sat, 26 Feb 2011 18:05:35 +0000



westr: Well-said! RT @renee_berry #Pain is what the patient reports, not what
we think it looks like via Brennan MD #mcip11
Sat, 26 Feb 2011 18:04:53 +0000
ewidera: RT @renee_berry: "people's hopes evolve" @BradHStuart #hpm
#mcip11
Sat, 26 Feb 2011 18:04:52 +0000



nhdd: "when you listen, really listen not just with your ears, watch your own
body & be @ the same side of the table" @BradHStuart #mcip11...
Sat, 26 Feb 2011 18:04:36 +0000



nhdd: RT @renee_berry: "treatment goals should follow patient's personal
goals" @BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 18:03:41 +0000



brimcmike: RT @renee_berry: ‘pain is what the patient reports, not what we
think it looks like’ Brennan MD #mcip11
Sat, 26 Feb 2011 18:02:58 +0000



jodyms: @renee_barry @emacartney @brimcmike -- thank you for your tweets
this morning. Such good & much needed advocacy:) #hpm #mcip11
Sat, 26 Feb 2011 18:02:42 +0000



renee_berry: ‘pain is what the patient reports, not what we think it looks
like’ Brennan MD #mcip11
Sat, 26 Feb 2011 18:02:20 +0000



brimcmike: RT @renee_berry: next: Pain Management w/ Elizabeth Brennan
MD http://ow.ly/43XFp & William Morris MD MPH http://ow.ly/43XHY #hpm
#mcip11
Sat, 26 Feb 2011 18:02:11 +0000



Nurse2103: RT @renee_berry: ‘What do patients want? They don’t want
to be in pain, this is a universal desire’ Tapper MD #hpm #mcip11
Sat, 26 Feb 2011 18:02:07 +0000



brimcmike: RT @renee_berry: "we tend to talk about symptoms & treatment, but
even when disease is advanced we tend to stay on that level" @BradHStuart
#hpm #mcip11
Sat, 26 Feb 2011 18:01:56 +0000



brimcmike: RT @renee_berry: "we need to learn that sometimes it's good to
stop & say hold on we need to #HaveTheTalk here, it's not easy"
@BradHStuart #mcip11
Sat, 26 Feb 2011 18:01:47 +0000



brimcmike: RT @renee_berry: "patients who have this discussion are far less
likely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 18:01:31 +0000



Nurse2103: RT @renee_berry: ‘What do patients not? They don’t want
to be in pain, this is a universal desire’ Tapper MD #mcip11
Sat, 26 Feb 2011 18:01:28 +0000



brimcmike: RT @renee_berry: "why should we talk about dying, we have data
on the fact that it's a good idea & not just morally" @BradHStuart
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 18:01:04 +0000



brimcmike: RT @renee_berry: "dollars spent are a measure of what we care
about, & we need to think about that" @BradHStuart #hcr #healthcare #hpm
#mcip11
Sat, 26 Feb 2011 18:00:53 +0000
brimcmike: RT @renee_berry: @BradHStuart highlighting survival data of
patients appropriately on hospice live just as long & sometimes longer #hpm
#mcip11
Sat, 26 Feb 2011 18:00:39 +0000



brimcmike: RT @renee_berry: 'we must move the focus of care out of the
hospital & in to the community so people dont have to be patients'
@BradHStuart #hpm #hcr #mcip11
Sat, 26 Feb 2011 18:00:32 +0000



brimcmike: RT @renee_berry: "I find it best to be as honest, open, connected &
compassionate as I can possibly be" @BradHStuart #mcip11
Sat, 26 Feb 2011 18:00:09 +0000



renee_berry: next: Pain Management w/ Elizabeth Brennan MD
http://ow.ly/43XFp & William Morris MD MPH http://ow.ly/43XHY #hpm #mcip11
Sat, 26 Feb 2011 17:58:21 +0000



hollyby: RT @renee_berry: "patients who have this discussion are far less
likely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 17:51:38 +0000



brimcmike: RT @PaloAltoMedical: @renee_berry Thank you! You're doing
great live tweeting & amplifying voices so that many more people can to share
in the discussion #mcip11
Sat, 26 Feb 2011 17:46:47 +0000



emacartney: RT @renee_berry: "people's hopes evolve" @BradHStuart #hpm
#mcip11
Sat, 26 Feb 2011 17:46:14 +0000



brimcmike: RT @renee_berry: "The end of a life lives on in the minds of those
who care" @BradHStuart #mcip11
Sat, 26 Feb 2011 17:44:13 +0000



brimcmike: RT @renee_berry: "people's hopes evolve" @BradHStuart #hpm
#mcip11
Sat, 26 Feb 2011 17:43:05 +0000



brimcmike: RT @renee_berry: "treatment goals should follow patient's personal
goals" @BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:42:44 +0000



emacartney: Daily and dearly! RT @renee_berry: "The end of a life lives on in
the minds of those who care" @BradHStuart #mcip11
Sat, 26 Feb 2011 17:42:12 +0000



PaloAltoMedical: @renee_berry Thank you! You're doing great live tweeting &
amplifying voices so that many more people can to share in the discussion
#mcip11
Sat, 26 Feb 2011 17:40:53 +0000



renee_berry: "The end of a life lives on in the minds of those who care"
@BradHStuart #mcip11
Sat, 26 Feb 2011 17:38:45 +0000



renee_berry: "people's hopes evolve" @BradHStuart #hpm #mcip11
Sat, 26 Feb 2011 17:37:54 +0000




brimcmike: RT @emacartney: RT @jodyms: RT @renee_berry: “in other
words it’s about listening†@BradHStuart #mcip11
Sat, 26 Feb 2011 17:37:18 +0000



brimcmike: RT @renee_berry: "when you can't cure, healing is all you have"
@BradHStuart #hospice #hpm #mcip11
Sat, 26 Feb 2011 17:36:46 +0000



brimcmike: RT @jodyms: @PracticalWisdom I really wish we were there in
person for these discussions. They're terrific @BradHstuart #mcip11 #hpm
Sat, 26 Feb 2011 17:36:05 +0000



brimcmike: RT @renee_berry: @PaloAltoMedical Amazing Speakers = Easy
Live Tweeting #mcip11
Sat, 26 Feb 2011 17:35:56 +0000



brimcmike: RT @millspeninsula: Yes! RT @renee_berry: "I find it best to be as
honest, open, connected & compassionate as I can possibly be" @BradHStuart
#mcip11
Sat, 26 Feb 2011 17:35:49 +0000



renee_berry: "treatment goals should follow patient's personal goals"
@BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:35:26 +0000



emacartney: RT @brimcmike: RT @renee_berry: "our healthcare system
should be out in the community" @BradHStuart #hpm #mcip11
Sat, 26 Feb 2011 17:35:24 +0000



brimcmike: RT @millspeninsula: If you're interested in learning new
perspectives in hospice & palliative care, follow tweets streaming live @
#mcip11 conference now! #hpm
Sat, 26 Feb 2011 17:35:21 +0000



brimcmike: RT @renee_berry: " 90% of people want to know the truth"
@BradHStuart #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 17:34:43 +0000



SanBrunoCal: RT @millspeninsula: If you're interested in learning new
perspectives in hospice & palliative care, follow tweets streaming live @
#mcip11 conference now! #hpm
Sat, 26 Feb 2011 17:34:38 +0000



brimcmike: RT @renee_berry: "when you listen, really listen, not just with your
ears, watch your own body & be @ the same side of the table" @BradHStuart
#mcip11
Sat, 26 Feb 2011 17:34:31 +0000



brimcmike: RT @PaloAltoMedical: Thank you to all now attending and/or
tweeting via #mcip11 today. It's wonderful to see the voices raised in #hospice
& #palliative care!
Sat, 26 Feb 2011 17:34:23 +0000



brimcmike: RT @renee_berry: “add 6-7min to deal with emotions in
outpatient, setting 6-7min to change a life, or even a system†@BradHStuart
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:34:14 +0000



brimcmike: RT @renee_berry: “ask before you tell & I’m just teaching
this to myself too†@BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:33:54 +0000



brimcmike: RT @PracticalWisdom: Support Self-CareRT @renee_berry:
@BradHStuart "we MD's dont like 2 have these discussions, it's hard"
#HaveTheTalk #hpm #mcip11 #hpm
Sat, 26 Feb 2011 17:33:44 +0000



brimcmike: RT @PracticalWisdom: Diverse Teams Help RT @renee_berry:
@BradHStuart "we MD's dont like 2 have these discussions, it's hard"
#HaveTheTalk #hpm #mcip11 #hpm
Sat, 26 Feb 2011 17:32:47 +0000



brimcmike: RT @renee_berry: “the agenda we have & the agenda that
patients & families have come together when we have these discussionsâ€
@BradHStuart #hpm #mcip11
Sat, 26 Feb 2011 17:32:33 +0000



brimcmike: RT @renee_berry: “in other words it’s about listeningâ€
@BradHStuart #mcip11
Sat, 26 Feb 2011 17:32:18 +0000



brimcmike: RT @renee_berry: "things are changing, we're in an era now where
people realize we need to care for advance illness management"
@BradHStuart #hpm #mcip11
Sat, 26 Feb 2011 17:32:13 +0000



brimcmike: RT @renee_berry: 'people don’t want to be patients'
@BradHStuart #insight #mcip11
Sat, 26 Feb 2011 17:31:26 +0000



brimcmike: RT @renee_berry: ‘our community, our country & our economy
all at stake & are all connected†@BradHStuart #hcr #mcip11
Sat, 26 Feb 2011 17:30:49 +0000



brimcmike: RT @renee_berry: "letting patient preference drive care drops cost"
@BradHStuart #HaveTheTalk #hpm ... & Improves Patient-Centered Care!
#mcip11
Sat, 26 Feb 2011 17:30:43 +0000



brimcmike: RT @renee_berry: "it's our responsibility to communicate about
those things" @BradHStuart #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 17:30:30 +0000



brimcmike: RT @renee_berry: "we need invest in an entirely different model of
care than what we're doing" @BradHStuart #hpm #hcr #healthcare #mcip11
Sat, 26 Feb 2011 17:30:25 +0000



PracticalWisdom: Wish I heard this in person~So Moving!RT @renee_berry:
"when you cant cure, healing is all you have" @BradHStuart #hospice #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 17:30:23 +0000



brimcmike: RT @renee_berry: "our healthcare system should be out in the
community" @BradHStuart #hpm #mcip11
Sat, 26 Feb 2011 17:30:10 +0000



brimcmike: RT @renee_berry: @BradHStuart told the audience to go find out
about tweeting & said hi to all of you out of this room (& in tweetchat)
#Advocate #mcip11
Sat, 26 Feb 2011 17:30:04 +0000



brimcmike: RT @renee_berry: @BradHStuart expressing gratitude for being
able to be here... I'm always impressed w/his humility #hpm #mcip11
Sat, 26 Feb 2011 17:29:40 +0000



PracticalWisdom: Curious (no sarcasm) Is this new Info? RT @renee_berry: "
90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 17:28:45 +0000



PracticalWisdom: Then HCare Folks to also Listen! RT @renee_berry: " 90% of
people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11
#hpm
Sat, 26 Feb 2011 17:27:18 +0000



PracticalWisdom: Thankful we now Talk & Listen! RT @renee_berry: "90% of
people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11
#hpm
Sat, 26 Feb 2011 17:26:06 +0000



PracticalWisdom: Honest! RT @renee_berry: @BradHStuart "we doctors dont
like to have these discussions, these things are hard" #HaveTheTalk #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 17:25:11 +0000



emacartney: RT @jodyms: RT @renee_berry: “in other words it’s about
listening†@BradHStuart #mcip11
Sat, 26 Feb 2011 17:24:59 +0000



renee_berry: "when you can't cure, healing is all you have" @BradHStuart
#hospice #hpm #mcip11
Sat, 26 Feb 2011 17:24:53 +0000



jodyms: @PracticalWisdom I really wish we were there in person for these
discussions. They're terrific @BradHstuart #mcip11 #hpm
Sat, 26 Feb 2011 17:24:46 +0000



emacartney: RT @renee_berry: “ask before you tell & I’m just teaching
this to myself too†@BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:24:21 +0000



renee_berry: @PaloAltoMedical Amazing Speakers = Easy Live Tweeting
#mcip11
Sat, 26 Feb 2011 17:24:17 +0000



millspeninsula: Yes! RT @renee_berry: "I find it best to be as honest, open,
connected & compassionate as I can possibly be" @BradHStuart #mcip11
Sat, 26 Feb 2011 17:23:07 +0000



millspeninsula: If you're interested in learning new perspectives in hospice &
palliative care, follow tweets streaming live @ #mcip11 conference now! #hpm
Sat, 26 Feb 2011 17:22:22 +0000



renee_berry: "I find it best to be as honest, open, connected & compassionate
as I can possibly be" @BradHStuart #mcip11
Sat, 26 Feb 2011 17:22:10 +0000



PracticalWisdom: No ? mark-My Bad!RT@renee_berr @BradHStuart survival
data/pt's approx Hospice live just as long?sometimes longer #hpm #mcip11
#hpm -12: #hpm
Sat, 26 Feb 2011 17:21:24 +0000



renee_berry: " 90% of people want to know the truth" @BradHStuart
#HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 17:20:19 +0000



renee_berry: "when you listen, really listen, not just with your ears, watch your
own body & be @ the same side of the table" @BradHStuart #mcip11
Sat, 26 Feb 2011 17:19:36 +0000



PaloAltoMedical: Thank you to all now attending and/or tweeting via #mcip11
today. It's wonderful to see the voices raised in #hospice & #palliative care!
Sat, 26 Feb 2011 17:19:07 +0000



doctatum: RT @renee_berry: “add 6-7min to deal with emotions in
outpatient, setting 6-7min to change a life, or even a system†@BradHStuart
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:18:45 +0000



renee_berry: “ask before you tell & I’m just teaching this to myself tooâ€
@BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:18:11 +0000



PracticalWisdom: Support Self-CareRT @renee_berry: @BradHStuart "we
MD's dont like 2 have these discussions, it's hard" #HaveTheTalk #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 17:17:59 +0000



doctatum: RT @renee_berry: @BradHStuart told the audience to go find out
about tweeting & said hi to all of you out of this room (& in tweetchat)
#Advocate #mcip11
Sat, 26 Feb 2011 17:17:07 +0000



PracticalWisdom: Diverse Teams Help RT @renee_berry: @BradHStuart "we
MD's dont like 2 have these discussions, it's hard" #HaveTheTalk #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 17:16:39 +0000



jodyms: RT @renee_berry: “the agenda we have & the agenda that
patients & families have come together when we have these discussionsâ€
@BradHStuart #hpm #mcip11
Sat, 26 Feb 2011 17:16:21 +0000



jodyms: RT @renee_berry: “in other words it’s about listeningâ€
@BradHStuart #mcip11
Sat, 26 Feb 2011 17:16:11 +0000



renee_berry: “in other words it’s about listening†@BradHStuart
#mcip11
Sat, 26 Feb 2011 17:15:27 +0000



PracticalWisdom: Acceptance?RT @renee_berry:"pt's who have discussion 4
far less likely 2 b admitted to the ICU" @BradHStuart #HaveTheTalk #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 17:15:12 +0000



renee_berry: “the agenda we have & the agenda that patients & families
have come together when we have these discussions†@BradHStuart #hpm
#mcip11
Sat, 26 Feb 2011 17:15:10 +0000



renee_berry: “add 6-7min to deal with emotions in outpatient, setting 6-7min
to change a life, or even a system†@BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:14:27 +0000



PracticalWisdom: Saves $/Right thing 2 Do.RT@renee_berr @BradHStuart
survival data/pt's approx Hospice live just as long?sometimes longer #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 17:14:17 +0000
renee_berry: "we tend to talk about symptoms & treatment, but even when
disease is advanced we tend to stay on that level" @BradHStuart #hpm
#mcip11
Sat, 26 Feb 2011 17:14:12 +0000



renee_berry: "we need to learn that sometimes it's good to stop & say hold on
we need to #HaveTheTalk here, it's not easy" @BradHStuart #mcip11
Sat, 26 Feb 2011 17:11:08 +0000



renee_berry: @BradHStuart "we doctors don't like to have these discussions,
these things are hard" #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 17:09:46 +0000



renee_berry: "patients who have this discussion are far less likely to be
admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 17:09:14 +0000



renee_berry: "people who aren't yet patients thinking this through are less likely
to become patients" @BradHStuart #HaveTheTalk Early #mcip11
Sat, 26 Feb 2011 17:08:00 +0000



emacartney: If you are intrested in new perspectives in hospice & palliative
care, @renee_berry is live tweeting at @paloaltomedical right now #mcip11
Sat, 26 Feb 2011 17:07:44 +0000



PracticalWisdom: Remarkable statement:RT @renee_berry: "its our
responsibility to communicate about those things" @BradHStuart
#HaveTheTalk #hpm #mcip11 #hpm
Sat, 26 Feb 2011 17:07:33 +0000



renee_berry: "why should we talk about dying, we have data on the fact that it's
a good idea & not just morally" @BradHStuart #HaveTheTalk #mcip11
Sat, 26 Feb 2011 17:07:15 +0000



emacartney: RT @renee_berry: 'we must move the focus of care out of hospital
& in to the community so ppl dont have to be patients' @BradHStuart #mcip11
Sat, 26 Feb 2011 17:05:56 +0000



renee_berry: "dollars spent are a measure of what we care about, & we need to
think about that" @BradHStuart #hcr #healthcare #hpm #mcip11
Sat, 26 Feb 2011 17:05:07 +0000



emacartney: MT @renee_berry: @BradHStuart told the audience to find out
about tweeting & said hi to all of you outside of this room tweeting #mcip11
Sat, 26 Feb 2011 17:04:12 +0000



renee_berry: @BradHStuart highlighting survival data of patients appropriately
on hospice live just as long & sometimes longer #hpm #mcip11
Sat, 26 Feb 2011 17:03:58 +0000



jodyms: RT @renee_berry: 'we must move the focus of care out of the hospital
& in to the community so people dont have to be patients' @BradHStuart #hpm
#hcr #mcip11
Sat, 26 Feb 2011 17:03:46 +0000



renee_berry: 'we must move the focus of care out of the hospital & in to the
community so people dont have to be patients' @BradHStuart #hpm #hcr
#mcip11
Sat, 26 Feb 2011 17:02:39 +0000



renee_berry: RT @emacartney: @practicalwisdom Thank you for adding your
meaningful comments to the discussion. Appreciate learning from you! #mcip11
Sat, 26 Feb 2011 17:01:18 +0000



renee_berry: 'people don’t want to be patients' @BradHStuart #insight
#mcip11
Sat, 26 Feb 2011 17:00:40 +0000



emacartney: @practicalwisdom Thank you for adding your meaningful
comments to the discussion. Appreciate learning from you! #mcip11
Sat, 26 Feb 2011 16:59:50 +0000



renee_berry: ‘our community, our country & our economy all at stake & are
all connected†@BradHStuart #hcr #mcip11
Sat, 26 Feb 2011 16:58:18 +0000



PracticalWisdom: Thanks for sharing this Point.RT @renee_berry:
@BradHStuart expressing gratitude 4 being here. impressed w/his humility
#hpm #mcip11 #hpm
Sat, 26 Feb 2011 16:57:57 +0000



Kaviraj2: RT @renee_berry: “accurate predication of #prognosis is
important for good clinical decision making†Tapper MD #HaveTheTalk #hpm
#mcip11
Sat, 26 Feb 2011 16:57:53 +0000



Kaviraj2: RT @renee_berry: ‘What do patients want? They don’t want to
be in pain, this is a universal desire’ Tapper MD #hpm #mcip11
Sat, 26 Feb 2011 16:57:22 +0000



renee_berry: "letting patient preference drive care drops cost" @BradHStuart
#HaveTheTalk #hpm ... & Improves Patient-Centered Care! #mcip11
Sat, 26 Feb 2011 16:57:05 +0000



Kaviraj2: RT @renee_berry: “biopsychological failure -I think we all have
that, I may have had it this morning’ Tapper MD keeping the audience
smiling #mcip11
Sat, 26 Feb 2011 16:57:01 +0000



PracticalWisdom: The Truly Classy folks R Humble!RT @renee_berry:
@BradHStuart expressing gratitude 4 being here.. Impressed w/his humility
#hpm #mcip11 #hpm
Sat, 26 Feb 2011 16:57:00 +0000



dmteachey1: RT @renee_berry: “I ask do you want to know what death
might look like for you, most of the times patients say yes†Tapper MD #hpm
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 16:56:32 +0000



renee_berry: "it's our responsibility to communicate about those things"
@BradHStuart #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 16:56:08 +0000



renee_berry: "we need invest in an entirely different model of care than what
we're doing" @BradHStuart #hpm #hcr #healthcare #mcip11
Sat, 26 Feb 2011 16:55:40 +0000



renee_berry: "our healthcare system should be out in the community"
@BradHStuart #hpm #mcip11
Sat, 26 Feb 2011 16:55:09 +0000



PracticalWisdom: http://bit.ly/elFIdDRT @renee_berry: “more people are
getting CPR & more people are dying from it†Tapper MD#HaveTheTalk
#hpm #mcip11 #hpm
Sat, 26 Feb 2011 16:54:34 +0000



renee_berry: @BradHStuart told the audience to go find out about tweeting &
said hi to all of you out of this room (& in tweetchat) #Advocate #mcip11
Sat, 26 Feb 2011 16:54:25 +0000



brimcmike: RT @renee_berry: Tapper MD says “was asked to go in for
goals of care consultation but patient was w/in hours of dying" #HaveTheTalk
Early #mcip11
Sat, 26 Feb 2011 16:53:10 +0000



brimcmike: RT @renee_berry: “In hospital CPR ... MD’s ask do you
want everything done or nothing done†Tapper MD (Language &
Communication #crucial) #mcip11
Sat, 26 Feb 2011 16:53:05 +0000



renee_berry: "things are changing, we're in an era now where people realize
we need to care for advance illness management" @BradHStuart #hpm
#mcip11
Sat, 26 Feb 2011 16:52:59 +0000



brimcmike: RT @renee_berry: 'There are a lot of non-verbal ways that patients
show pain' Tapper MD #hpm #mcip11
Sat, 26 Feb 2011 16:52:34 +0000



renee_berry: @BradHStuart expressing gratitude for being able to be here... I'm
always impressed w/his humility #hpm #mcip11
Sat, 26 Feb 2011 16:50:37 +0000



PracticalWisdom: They might not even be aware of this.RT @renee_berry:
There are a lot of non-verbal ways that patients show pain Tapper MD #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 16:50:09 +0000



brimcmike: RT @renee_berry: “biopsychological failure -I think we all have
that, I may have had it this morning’ Tapper MD keeping the audience
smiling #mcip11
Sat, 26 Feb 2011 16:47:29 +0000



brimcmike: RT @renee_berry: ‘What do patients want? They don’t want
to be in pain, this is a universal desire’ Tapper MD #hpm #mcip11
Sat, 26 Feb 2011 16:47:18 +0000



renee_berry: Tapper MD says “was asked to go in for goals of care
consultation but patient was w/in hours of dying" #HaveTheTalk Early #mcip11
Sat, 26 Feb 2011 16:47:11 +0000



brimcmike: RT @renee_berry: “accurate predication of #prognosis is
important for good clinical decision making†Tapper MD #HaveTheTalk #hpm
#mcip11
Sat, 26 Feb 2011 16:46:59 +0000



renee_berry: “more people are getting CPR & more people are dying from
it†Tapper MD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 16:45:25 +0000



renee_berry: “In hospital CPR ... MD’s ask do you want everything
done or nothing done†Tapper MD (Language & Communication #crucial)
#mcip11
Sat, 26 Feb 2011 16:45:00 +0000



PracticalWisdom: We need more $/research=Pain Manag. RT
@renee_berry:They don’t want to be in pain, this is a universal desire’
Tapper MD #hpm #mcip11 #hpm
Sat, 26 Feb 2011 16:44:30 +0000



renee_berry: 'There are a lot of non-verbal ways that patients show pain'
Tapper MD #hpm #mcip11
Sat, 26 Feb 2011 16:43:32 +0000



renee_berry: Tried to set up what the hashtag for some stats, is it working for
anyone? (my comps being slow) http://wthashtag.com/Mcip11 #mcip11
Sat, 26 Feb 2011 16:42:02 +0000



renee_berry: “biopsychological failure -I think we all have that, I may have
had it this morning’ Tapper MD keeping the audience smiling #mcip11
Sat, 26 Feb 2011 16:39:58 +0000



renee_berry: ‘What do patients want? They don’t want to be in pain, this
is a universal desire’ Tapper MD #hpm #mcip11
Sat, 26 Feb 2011 16:35:37 +0000



renee_berry: sorry everyone next tweet is correcting a typo, I put what do
patients not, it's what do patients want... #mcip11
Sat, 26 Feb 2011 16:35:20 +0000



renee_berry: “accurate predication of #prognosis is important for good
clinical decision making†Tapper MD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 16:34:42 +0000



emacartney: RT @renee_berry: “I ask do you want to know what death
might look like for you, most of the times patients say yes†Tapper MD #hpm
#mcip11
Sat, 26 Feb 2011 16:34:03 +0000



brimcmike: RT @renee_berry: ‘Dying quietly in our sleep happens only 10%
of the time’ Tapper MD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 16:30:49 +0000



renee_berry: “I ask do you want to know what death might look like for you,
most of the times patients say yes†Tapper MD #hpm #HaveTheTalk #mcip11
Sat, 26 Feb 2011 16:30:44 +0000



brimcmike: RT @renee_berry: Tapper MD 'prognostication one of 4 Cardinal
clinical skills, disease prevention, diagnosis, therapy, & ->prognostication'
#hpm #mcip11
Sat, 26 Feb 2011 16:30:34 +0000



PracticalWisdom: Profound RT @emacartney: RT @renee_berry: ‘Dying
quietly in our sleep happens only 10% of the time’ Tapper MD
#HaveTheTalk #hpm #mcip11 #hpm
Sat, 26 Feb 2011 16:30:21 +0000



brimcmike: RT @renee_berry: ‘until we are comfortable with prognostication,
our patients will not be comfortable talking about it either’ Tapper MD
#HaveTheTalk #mcip11
Sat, 26 Feb 2011 16:30:16 +0000



brimcmike: RT @renee_berry: ‘when I went to medical school I got no
education about prognostication’ Tapper MD #meded #hpm #mcip11
Sat, 26 Feb 2011 16:30:10 +0000



brimcmike: RT @renee_berry: Sharon Tapper MD tells a story of another
clinician giving her feedback that Prognostication was 'boring' .. she disagrees
#mcip11
Sat, 26 Feb 2011 16:30:04 +0000



brimcmike: RT @renee_berry: "start thinking about illness trajectories" Tapper
MD #hpm #mcip11
Sat, 26 Feb 2011 16:29:34 +0000



brimcmike: RT @renee_berry: ‘What do patients not? They don’t want to
be in pain, this is a universal desire’ Tapper MD #mcip11
Sat, 26 Feb 2011 16:29:30 +0000



brimcmike: RT @renee_berry: 'Only 37% of MDs give frank prognostication
disclosure even when a patient requested a survival estimate' Tapper MD
#hpm #epatient #mcip11
Sat, 26 Feb 2011 16:29:22 +0000



renee_berry: @Kaviraj2 & @brimcmike Thanks for joining!! (Presentation got
slightly technical/medical last few min, stay tuned... :) #mcip11
Sat, 26 Feb 2011 16:28:13 +0000



renee_berry: @PracticalWisdom right?! She's doing a great job really using
language that speaks to early access to comfort focused care #mcip11
Sat, 26 Feb 2011 16:27:13 +0000



jodyms: RT @emacartney: RT @renee_berry: ‘Dying quietly in our sleep
happens only 10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 16:24:49 +0000



PracticalWisdom: RT @renee_berry:Only 37% MDs give frank prognost
disclosure even when a pt requested survival estimate Tapper MD #hpm
#epatient #mcip11 #hpm
Sat, 26 Feb 2011 16:24:20 +0000



emacartney: RT @renee_berry: ‘Dying quietly in our sleep happens only
10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 16:23:38 +0000



brimcmike: Following spkrs at #mcip11 Managing Critically Ill Patients @ EOL
@renee_berry will be live tweeting after 8am PST http://ow.ly/43Xoa #hpm
Sat, 26 Feb 2011 16:23:03 +0000



renee_berry: ‘Dying quietly in our sleep happens only 10% of the time’
Tapper MD #HaveTheTalk #hpm #mcip11
Sat, 26 Feb 2011 16:21:31 +0000



emacartney: RT @renee_berry: ‘What do patients not? They don’t want
to be in pain, this is a universal desire’ Tapper MD #mcip11
Sat, 26 Feb 2011 16:21:07 +0000



PracticalWisdom: Great Title! RT @renee_berry: Is This a Bad Day or My Last
Day? The Art & Science of Prognostication w/ Sharon Tapper MD #hpm
#mcip11 #hpm
Sat, 26 Feb 2011 16:20:31 +0000



Kaviraj2: RT @renee_berry: Tapper MD 'prognostication one of 4 Cardinal
clinical skills, disease prevention, diagnosis, therapy, & ->prognostication'
#hpm #mcip11
Sat, 26 Feb 2011 16:20:01 +0000



PracticalWisdom: New Opportunity RT @renee_berry: ‘when I went to
medical school I got no education about prognostication’ Tapper MD
#meded #hpm #mcip11 #hpm
Sat, 26 Feb 2011 16:19:55 +0000



renee_berry: "start thinking about illness trajectories" Tapper MD #hpm
#mcip11
Sat, 26 Feb 2011 16:19:47 +0000



Kaviraj2: RT @renee_berry: ‘What do patients not? They don’t want to
be in pain, this is a universal desire’ Tapper MD #mcip11
Sat, 26 Feb 2011 16:18:56 +0000



renee_berry: 'Only 37% of MDs give frank prognostication disclosure even
when a patient requested a survival estimate' Tapper MD #hpm #epatient
#mcip11
Sat, 26 Feb 2011 16:17:44 +0000



renee_berry: ‘What do patients not? They don’t want to be in pain, this is
a universal desire’ Tapper MD #mcip11
Sat, 26 Feb 2011 16:15:02 +0000



renee_berry: @PracticalWisdom I'm planning to use hpm on my favorite
quotes, feel free to do whatever works for you #mcip11
Sat, 26 Feb 2011 16:13:50 +0000



renee_berry: ‘until we are comfortable with prognostication, our patients will
not be comfortable talking about it either’ Tapper MD #HaveTheTalk
#mcip11
Sat, 26 Feb 2011 16:13:17 +0000



renee_berry: ‘when I went to medical school I got no education about
prognostication’ Tapper MD #meded #hpm #mcip11
Sat, 26 Feb 2011 16:12:45 +0000



renee_berry: Tapper MD 'prognostication one of 4 Cardinal clinical skills,
disease prevention, diagnosis, therapy, & ->prognostication' #hpm #mcip11
Sat, 26 Feb 2011 16:11:04 +0000



PracticalWisdom: Should we use #hpm or #mcip11 #hpm
Sat, 26 Feb 2011 16:10:10 +0000




renee_berry: Sharon Tapper MD tells a story of another clinician giving her
feedback that Prognostication was 'boring' .. she disagrees #mcip11
Sat, 26 Feb 2011 16:09:30 +0000



PaloAltoMedical: RT @renee_berry Welcome by Sharon Tapper MD thanking
sponsors @paloaltomedical @millspeninsula Sutter VNA Hospice
http://ow.ly/43Xln #mcip11
Sat, 26 Feb 2011 16:08:03 +0000



renee_berry: Is This a Bad Day or My Last Day? The Art & Science of
Prognostication w/ Sharon Tapper MD #hpm #mcip11
Sat, 26 Feb 2011 16:07:34 +0000



PracticalWisdom: @jodyms: Good Morning! Excited you are here too. Lots of
Smart, Kind and Wise Ladies. ;<) #mcip11
Sat, 26 Feb 2011 16:07:17 +0000



renee_berry: @jodyms of course! #mcip11
Sat, 26 Feb 2011 16:07:15 +0000




renee_berry: RT @jodyms: @renee_berry @emacartney Thanks for letting me
know about #mcip11:) #hpm
Sat, 26 Feb 2011 16:07:03 +0000



emacartney: Following spkrs at #mcip11 today on #hpm care. @renee_berry
will be live tweeting after 8am PST if you wish to join in! http://ow.ly/43Xoa
Sat, 26 Feb 2011 16:05:16 +0000



nhdd: RT @emacartney Live #hpm tweets today http://ow.ly/43Wh4 Follow
#mcip11
Sat, 26 Feb 2011 16:05:03 +0000



jodyms: @renee_berry @emacartney Thanks for letting me know about
#mcip11:) #hpm
Sat, 26 Feb 2011 16:04:52 +0000



renee_berry: Welcome by Sharon Tapper, MD thanking sponsors
@PaloAltoMedical @MillsPeninsula & Sutter VNA #Hospice http://ow.ly/43Xln
#mcip11
Sat, 26 Feb 2011 16:04:31 +0000



PracticalWisdom: @emacartney Erin, Thank you again for your wonderful Acts
of Kindness this week. I"m sure this will be Grand! #mcip11
Sat, 26 Feb 2011 16:04:14 +0000



PracticalWisdom: Silly U R a sharp Crayon in the BoxRT @renee_berry:
@PracticalWisdom youre welcome!! Hope I can keep up with these awesome
speakers! #mcip11
Sat, 26 Feb 2011 16:01:41 +0000



PracticalWisdom: Looking forward to the Rumble and Fast Fingers, Keen
MInds, Big Heats #mcip11
Sat, 26 Feb 2011 16:00:43 +0000



emacartney: @practicalwisdom Yes! Wouldn't miss it. Looking fwd to following
your and others' tweets and learning! #mcip11
Sat, 26 Feb 2011 16:00:10 +0000



PracticalWisdom: Getting Ready to rumble: Oh Ya.
http://www.youtube.com/watch?v=uAIAET2e2y8 #mcip11
Sat, 26 Feb 2011 15:59:29 +0000



renee_berry: @PracticalWisdom you're welcome!! Hope I can keep up with
these awesome speakers! #mcip11
Sat, 26 Feb 2011 15:58:44 +0000



renee_berry: RT @PracticalWisdom: @renee_berry thank you for the invitation
to tweet. #mcip11
Sat, 26 Feb 2011 15:58:15 +0000



PracticalWisdom: emacartney-Erin are you going to Tweet with us this morning.
Crossing my Fingers #mcip11
Sat, 26 Feb 2011 15:57:16 +0000



visiting_nurse: RT @PaloAltoMedical: We're presenting an #hpm event today
w/Sutter Hospice & VNA and @millspeninsula http://ow.ly/43WTZ. Live tweets
via #mcip11 starting 8am PST
Sat, 26 Feb 2011 15:56:19 +0000



PracticalWisdom: @renee_berry thank you for the invitation to tweet. #mcip11
Sat, 26 Feb 2011 15:56:18 +0000
PaloAltoMedical: We're presenting an #hpm event today w/Sutter Hospice &
VNA and @millspeninsula http://ow.ly/43WTZ. Live tweets via #mcip11 starting
8am PST
Sat, 26 Feb 2011 15:42:31 +0000



millspeninsula: We're co-presenting an #hpm event today w/@paloaltomedical
and Sutter Hospice & VNA. You can follow via #mcip11 on twitter starting @ 8a
PST
Sat, 26 Feb 2011 15:32:18 +0000



hcsmSV: RT @renee_berry: Just arrived at #mcip11 http://ow.ly/43QHQ #hpm
(Live tweets starting soon after 8a PST)
Sat, 26 Feb 2011 15:21:02 +0000



emacartney: RT @renee_berry Just arrived at #mcip11 http://ow.ly/43QHQ
#hpm (Live tweets starting soon after 8a PST)
Sat, 26 Feb 2011 15:19:32 +0000



hcsmSV: @renee_berry is Live tweeting today at #hpm event presented by
@paloaltomedical @millspeninsula @SutterHealth http://ow.ly/43Wqr #mcip11
Sat, 26 Feb 2011 15:18:23 +0000



emacartney: Live #hpm tweets today via @renee_berry http://ow.ly/43Wh4 w/
@PaloAltoMedical @MillsPeninsula @SutterHealth. Follow #mcip11
Sat, 26 Feb 2011 15:12:57 +0000



renee_berry: Just arrived at #mcip11 http://ow.ly/43QHQ #hpm (Live tweets
starting soon after 8a PST)
Sat, 26 Feb 2011 15:12:36 +0000



renee_berry: Live #hpm Tweets Tomorrow http://ow.ly/43QHQ #mcip11 w/
@PaloAltoMedical @MillsPeninsula @SutterHealth
Sat, 26 Feb 2011 06:54:16 +0000



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Tweet reach mcip11

  • 1. TweetReach for #mcip11 Reached 20,622 people via 404 tweets Searching maximum tweets permitted by Twitter Tweet Types Exposure: 331,319 Impressions Each pie slice shows how many people saw how many tweets Impressions Contributed by AlisynGayle: RT @PalliativeMed_j: RT @renee_berry: RT @TheRedElm: The 48 Twitterers Neuroscience of Mindfulness by David Rock http://ow.ly/44TOs #mcip11 cc renee_berry 140,458 @BradHStuart #wisdom2conf brimcmike 47,960 Wed, 02 Mar 2011 02:58:25 +0000 PracticalWisdom 36,322 ctsinclair 19,514 AlisynGayle: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John emacartney 18,885 Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing jodyms 11,574 immune system westr 9,100 Tue, 01 Mar 2011 07:49:50 +0000 PaloAltoMedical 9,008 nhdd 5,053 fbfukushima: RT @PalliativeMed_j: RT @Pallimed: "Pain Can Kill" article from Pallimed 4,516 1991 John Liebeskind http://ow.ly/44TB2 #mcip11 #hpm talks about pain Kaviraj2 3,678 suppressing immune system enochchoi 3,431 Mon, 28 Feb 2011 22:59:04 +0000 suzanakm 2,640 carlaaxt 2,430 aeolc: RT @renee_berry: 'we must move the focus of care out of the hospital & CAPCpalliative 2,035 in to the community so people dont have to be patients' @BradHStuart #hpm DianeEMeier 1,452 #hcr #mcip11 millspeninsula 1,380 Mon, 28 Feb 2011 21:09:03 +0000 AlisynGayle 1,376 hcsmSV 1,117 enochchoi: RT @emacartney: @carlaaxt: #mcip11 is an #hpm event at napernurse 1,090 @paloaltomedical 2day w/ Sutter VNA & Hospice & @millspeninsula also DrDignity 782 presenting http://ow.ly/440By richland51 758 Mon, 28 Feb 2011 05:51:48 +0000 hollyby 710 visiting_nurse 692 dspacl: RT @nhdd: Doris Hawks JD talks about how advance directives comalliwrites 532 can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11 LVADone 484 Sun, 27 Feb 2011 19:52:42 +0000 brigid22 452 ewidera 417 dspacl: RT @nhdd: "care is always provided, intervention can be refused" erigentry 400 Doris Hawks JD #HaveTheTalk #hpm #mcip11 SanBrunoCal 322 Sun, 27 Feb 2011 19:52:14 +0000 drpippa 316 dspacl 314 Kaviraj2: RT @nhdd: "when you listen, really listen not just with your ears, peds_id_doc 312 watch your own body & be @ the same side of the table" @BradHStuart klxmedia 301 #mcip11... Nurse2103 280 Sun, 27 Feb 2011 18:18:19 +0000 LisaDMorgan 222 s_eller 208 renee_berry: RT @nhdd: "care is always provided, intervention can be refused" GetPalliative 189 Doris Hawks JD #HaveTheTalk #hpm #mcip11 dmteachey1 188 Sun, 27 Feb 2011 17:52:44 +0000 PalMedConnect 147
  • 2. jen_c_taylor 82 renee_berry: RT @nhdd: Doris Hawks JD talks about how advance directives doctatum 70 can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11 DoctorGirardi 36 Sun, 27 Feb 2011 17:52:19 +0000 Kaffeedog 28 ellenklem 24 renee_berry: RT @nhdd: "when you listen, really listen not just with your ears, fbfukushima 22 watch your own body & be @ the same side of the table" @BradHStuart Cure_MTM 9 #mcip11... aeolc 3 Sun, 27 Feb 2011 17:51:23 +0000 renee_berry: RT @Pallimed: RT @NHDD: 'if your patient brings in an advance directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sun, 27 Feb 2011 17:48:30 +0000 suzanakm: RT @renee_berry: 'we must move the focus of care out of the hospital & in to the community so people dont have to be patients' @BradHStuart #hpm #hcr #mcip11 Sun, 27 Feb 2011 07:40:54 +0000 suzanakm: RT @renee_berry: 'Only 37% of MDs give frank prognostication disclosure even when a patient requested a survival estimate' Tapper MD #hpm #epatient #mcip11 Sun, 27 Feb 2011 07:36:17 +0000 fbfukushima: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sun, 27 Feb 2011 05:13:06 +0000 napernurse: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sun, 27 Feb 2011 02:06:01 +0000 suzanakm: RT @renee_berry: 'our bodies evolve the pain pathway to survive' Brennan MD #hpm #mcip11 -example of neuroplasticity Sun, 27 Feb 2011 01:55:48 +0000 suzanakm: RT @renee_berry: Bishop MD on @DianeEMeier 's advocacy w/ #hcr #mcip11 Sun, 27 Feb 2011 01:54:04 +0000 westr: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sun, 27 Feb 2011 01:36:49 +0000 brimcmike: RT @Pallimed: "Pain Can Kill" article from 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sun, 27 Feb 2011 00:43:36 +0000 DianeEMeier: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sun, 27 Feb 2011 00:14:09 +0000 hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sun, 27 Feb 2011 00:02:48 +0000
  • 3. klxmedia: RT @renee_berry: "when you can't cure, healing is all you have" @BradHStuart #hospice #hpm #mcip11 Sat, 26 Feb 2011 23:00:05 +0000 jen_c_taylor: Thanks @renee_berry for your #tsweet coverage of #mcip11::: RT "start the discussions early" - @BradHStuart #HaveTheTalk Sat, 26 Feb 2011 22:58:40 +0000 LVADone: RT @nhdd: 'everybody is selective in what they tell you' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 22:35:19 +0000 LVADone: RT @Pallimed: "Pain Can Kill" article from 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sat, 26 Feb 2011 22:34:54 +0000 CAPCpalliative: RT @nhdd: "when you listen, really listen not just with your ears, watch your own body & be @ the same side of the table" @BradHStuart #mcip11... Sat, 26 Feb 2011 22:34:00 +0000 CAPCpalliative: RT @renee_berry: 'we must move the focus of care out of the hospital & in to the community so people dont have to be patients' @BradHStuart #hpm #hcr #mcip11 Sat, 26 Feb 2011 22:33:01 +0000 CAPCpalliative: RT @ctsinclair: RT @NHDD: 'when the patient looses capacity (as decided by the MD), you are not required to neuro-psych evaluation' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 22:31:05 +0000 CAPCpalliative: RT @Pallimed: RT @NHDD: 'if your patient brings in an advance directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 22:29:49 +0000 CAPCpalliative: RT @GetPalliative: RT @renee_berry "we're in an era now where people realize we need to care for advance illness management" - @BradHStuart #mcip11 #palliative Sat, 26 Feb 2011 22:29:21 +0000 LisaDMorgan: RT @renee_berry: 'Only 37% of MDs give frank prognostication disclosure even when a patient requested a survival estimate' Tapper MD #hpm #epatient #mcip11 Sat, 26 Feb 2011 21:51:11 +0000 LisaDMorgan: RT @GetPalliative: RT @renee_berry "we're in an era now where people realize we need to care for advance illness management" - @BradHStuart #mcip11 #palliative Sat, 26 Feb 2011 21:48:39 +0000 LisaDMorgan: RT @Pallimed: "Pain Can Kill" article from 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sat, 26 Feb 2011 21:48:25 +0000 millspeninsula: Thank you to everyone who participated in the #mcip11 live session today on twitter. Your #hpm sharing was amazing & very much appreciated! Sat, 26 Feb 2011 20:56:29 +0000 PaloAltoMedical: Thank you, all! This concludes the live #mcip11 session, but
  • 4. hopefully these amazing conversations will continue on throughout the week!:) Sat, 26 Feb 2011 20:54:26 +0000 PracticalWisdom: Best Practice:RT @Pallimed: RT @NHDD: if your patient brings in an advance directive, review it Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 20:19:05 +0000 Pallimed: RT @NHDD: 'if your patient brings in an advance directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 20:18:01 +0000 brimcmike: RT @renee_berry: breathtaking to hear each panelist discuss their personal stories w/advance care planning & their families #mcip11 Sat, 26 Feb 2011 20:15:06 +0000 brimcmike: RT @renee_berry: yay they took it! (though not skilled enough tweeter to put these stories into 140characters) #mcip11 Sat, 26 Feb 2011 20:14:36 +0000 brimcmike: RT @renee_berry: fingers crossed the panel takes my question... to all of them, please speak to your experience in completing your advance directive #mcip11 Sat, 26 Feb 2011 20:14:20 +0000 brimcmike: RT @renee_berry: (clinicians) 'work with the ethics committee & palliative care teams, let them help you' Hawks JD #mcip11 Sat, 26 Feb 2011 20:14:10 +0000 brimcmike: RT @renee_berry: 'make sure that the agent knows that they have been selected' Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 20:13:55 +0000 brimcmike: RT @renee_berry: 'we owe it to our patients to be clear' Bishop MD #mcip11 Sat, 26 Feb 2011 20:13:48 +0000 brimcmike: RT @renee_berry: 'focus on informed medical decision making' Tapper MD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 20:13:42 +0000 brimcmike: RT @renee_berry: "start the discussions early" - @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 20:13:29 +0000 brimcmike: RT @renee_berry: " @DianeEMeier is really a champion of #palliative care" - @BradHStuart #mcip11 Sat, 26 Feb 2011 20:13:21 +0000 emacartney: RT @renee_berry: breathtaking to hear each panelist discuss their personal stories w/advance care planning & their families #mcip11 Sat, 26 Feb 2011 20:13:18 +0000 brimcmike: RT @renee_berry: "we are about clarifying goals" Morris MD MPH #HaveTheTalk #mcip11 Sat, 26 Feb 2011 20:13:12 +0000 PracticalWisdom: @renee_berry: Didn't expect you to get a magic http://bit.ly/eUrUNY. Ask them to tell their story in 140? #mcip11 Sat, 26 Feb 2011 20:10:59 +0000
  • 5. renee_berry: @PracticalWisdom they are, but i'll have to blog it, trying to figure out how to do these kinds of stories in 140 sorry to tease! #mcip11 Sat, 26 Feb 2011 20:07:22 +0000 PracticalWisdom: Do they share w/Pt's?RT @renee_berry: breathtaking 2 hear panelist discuss personal stories w/advance care planning/their families #mcip11 Sat, 26 Feb 2011 20:06:21 +0000 renee_berry: breathtaking to hear each panelist discuss their personal stories w/advance care planning & their families #mcip11 Sat, 26 Feb 2011 20:04:47 +0000 comalliwrites: RT @renee_berry: RT @TheRedElm: The Neuroscience of Mindfulness by David Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart #wisdom2conf Sat, 26 Feb 2011 20:03:44 +0000 brimcmike: RT @renee_berry: "you must talk with people about what they want & it almost always is staying out of the hospital" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 20:03:18 +0000 PracticalWisdom: @renee_berry Fingers Crossed your question will be taken. Wonder if we might get a surprise? #mcip11 Sat, 26 Feb 2011 20:02:25 +0000 renee_berry: yay they took it! (though not skilled enough tweeter to put these stories into 140characters) #mcip11 Sat, 26 Feb 2011 20:02:03 +0000 renee_berry: fingers crossed the panel takes my question... to all of them, please speak to your experience in completing your advance directive #mcip11 Sat, 26 Feb 2011 20:00:26 +0000 PracticalWisdom: RT @renee_berry: (clinicians) work with the ethics committee & palliative care teams, let them help you Hawks JD #mcip11 Sat, 26 Feb 2011 19:58:03 +0000 renee_berry: (clinicians) 'work with the ethics committee & palliative care teams, let them help you' Hawks JD #mcip11 Sat, 26 Feb 2011 19:55:35 +0000 emacartney: RT @renee_berry: 'focus on informed medical decision making' - Tapper MD #HaveTheTalk (spkg at #mcip11) Sat, 26 Feb 2011 19:53:52 +0000 brigid22: RT @renee_berry: 'make sure that the agent knows that they have been selected' Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:53:51 +0000 renee_berry: 'make sure that the agent knows that they have been selected' Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:53:20 +0000 emacartney: RT @renee_berry: "start the discussions early" - @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:53:14 +0000 renee_berry: 'we owe it to our patients to be clear' Bishop MD #mcip11 Sat, 26 Feb 2011 19:52:23 +0000
  • 6. renee_berry: 'focus on informed medical decision making' Tapper MD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:50:08 +0000 renee_berry: RT @nhdd: "Legal forms hard to understand & do not provide useful guidance" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:49:34 +0000 renee_berry: "start the discussions early" - @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:48:57 +0000 Kaffeedog: RT @nhdd: "Legal forms hard to understand & do not provide useful guidance" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:48:52 +0000 renee_berry: " @DianeEMeier is really a champion of #palliative care" - @BradHStuart #mcip11 Sat, 26 Feb 2011 19:48:08 +0000 renee_berry: "we are about clarifying goals" Morris MD MPH #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:47:07 +0000 renee_berry: "you must talk with people about what they want & it almost always is staying out of the hospital" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:45:55 +0000 brimcmike: RT @renee_berry: "discuss goals of care early on" Aggarwal MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:44:27 +0000 brimcmike: RT @renee_berry: We need to tell our story... What was it like to do your advance directive? Our stories effect public policy, don't wait for others #mcip11 Sat, 26 Feb 2011 19:44:15 +0000 brimcmike: RT @renee_berry: Bishop MD discussing @AAHPM Public Policy meeting from last week #hpm #mcip11 Sat, 26 Feb 2011 19:44:09 +0000 brimcmike: RT @renee_berry: Roundtable Discussion w/ Experts Tapper MD, @BradHStuart Brennan MD, Morris, MD MPH, Hawks JD, Bishop MD, Aggarwal MD #mcip11 Sat, 26 Feb 2011 19:43:55 +0000 brigid22: RT @renee_berry: "discuss goals of care early on" Aggarwal MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:43:28 +0000 renee_berry: "discuss goals of care early on" Aggarwal MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:41:47 +0000 renee_berry: We need to tell our story... What was it like to do your advance directive? Our stories effect public policy, don't wait for others #mcip11 Sat, 26 Feb 2011 19:40:59 +0000 renee_berry: something I didn't hear that I am weighing raising my hand about health policy question & advance care planning #mcip11
  • 7. Sat, 26 Feb 2011 19:40:10 +0000 renee_berry: Bishop MD discussing @DianeEMeier 's advocacy w/health policy #mcip11 Sat, 26 Feb 2011 19:37:13 +0000 renee_berry: Bishop MD discussing @AAHPM Public Policy meeting from last week #hpm #mcip11 Sat, 26 Feb 2011 19:36:09 +0000 renee_berry: Roundtable Discussion w/ Experts Tapper MD, @BradHStuart Brennan MD, Morris, MD MPH, Hawks JD, Bishop MD, Aggarwal MD #mcip11 Sat, 26 Feb 2011 19:35:41 +0000 brimcmike: RT @nhdd: "who should have a POLST? People with chronic progressive illnesses, serious health condition, medically frail" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:30:55 +0000 brimcmike: RT @nhdd: 'everyone who is 18+ should have an advance directive, not every one needs a POLST' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:30:38 +0000 brimcmike: RT @nhdd: 'advance directives can help docs convert patient goals into a POLST forms' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:30:20 +0000 brimcmike: RT @nhdd: 'if your patient brings in an advance directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:30:12 +0000 brimcmike: RT @nhdd: Doris Hawks JD talks about how advance directives can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:30:06 +0000 brimcmike: RT @nhdd: 'can't eliminate the ambivalence of what it's like to do your own' Doris Hawks JD #HaveTheTalk Early... Lets start w/ourselves #mcip11 Sat, 26 Feb 2011 19:29:53 +0000 brimcmike: RT @nhdd: "people change their minds" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:29:42 +0000 brimcmike: RT @nhdd: "Legal forms hard to understand & do not provide useful guidance" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:29:37 +0000 brimcmike: RT @nhdd: "Most people don't do an AHCD" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:29:24 +0000 brimcmike: RT @nhdd: "What is POLST? Physician Orders for Life Sustaining Treatment" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:29:09 +0000 brimcmike: RT @nhdd: "care is always provided, intervention can be refused" Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:29:02 +0000 brimcmike: RT @nhdd: 'an oral directive can be given by a person who has
  • 8. capacity' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:28:56 +0000 brimcmike: RT @Pallimed: RT @NHDD: 'it isn't ok if the patient disagrees with you to then decide that the patient does now lack capacity' Doris Hawks JD #hpm #mcip11 Sat, 26 Feb 2011 19:28:44 +0000 brimcmike: RT @ctsinclair: RT @NHDD: 'when the patient looses capacity (as decided by the MD), you are not required to neuro-psych evaluation' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:28:27 +0000 brimcmike: RT @nhdd: 'it can be done on a napkin' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:28:17 +0000 brimcmike: RT @nhdd: "help the surrogate make the decision best for the patient" Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:28:06 +0000 nhdd: "who should have a POLST? People with chronic progressive illnesses, serious health condition, medically frail" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:25:09 +0000 nhdd: "who should have a POLST? People with chronic progressive illnesses, serious health condition, medically frail" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:25:09 +0000 nhdd: 'everyone who is 18+ should have an advance directive, not every one needs a POLST' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:23:25 +0000 s_eller: Busy day on Twitter: @salmaansana & #compassion4care, @holisticnurses & #nyc4women, @renee_berry & #mcip11, @r… (cont) http://deck.ly/~GYcKV Sat, 26 Feb 2011 19:20:43 +0000 nhdd: 'advance directives can help docs convert patient goals into a POLST forms' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:19:35 +0000 ellenklem: RT @nhdd: 'if your patient brings in an advance directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:18:44 +0000 nhdd: Doris Hawks JD talks about how advance directives can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:18:40 +0000 nhdd: 'if your patient brings in an advance directive, review it' Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:18:02 +0000 nhdd: 'can't eliminate the ambivalence of what it's like to do your own' Doris Hawks JD #HaveTheTalk Early... Lets start w/ourselves #mcip11 Sat, 26 Feb 2011 19:17:41 +0000 nhdd: "people change their minds" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:16:01 +0000
  • 9. nhdd: "Legal forms hard to understand & do not provide useful guidance" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:15:46 +0000 nhdd: "Most people don't do an AHCD" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:15:23 +0000 nhdd: "What is POLST? Physician Orders for Life Sustaining Treatment" Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:14:55 +0000 nhdd: "care is always provided, intervention can be refused" Doris Hawks JD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:12:04 +0000 nhdd: 'an oral directive can be given by a person who has capacity' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:11:42 +0000 Pallimed: RT @NHDD: 'it isn't ok if the patient disagrees with you to then decide that the patient does now lack capacity' Doris Hawks JD #hpm #mcip11 Sat, 26 Feb 2011 19:11:02 +0000 ctsinclair: RT @NHDD: 'when the patient looses capacity (as decided by the MD), you are not required to neuro-psych evaluation' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:10:39 +0000 DrDignity: RT @nhdd: 'you've got to bring it up, you've got to push your doctor about what you & your family need to know"' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:09:52 +0000 nhdd: 'it can be done on a napkin' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:09:26 +0000 DrDignity: RT @GetPalliative: RT @renee_berry "we're in an era now where people realize we need to care for advance illness management" - @BradHStuart #mcip11 #palliative Sat, 26 Feb 2011 19:08:36 +0000 nhdd: "help the surrogate make the decision best for the patient" Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:08:32 +0000 nhdd: 'when the patient looses capacity (as decided by the MD), you are not required to neuro-psych evaluation' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:07:57 +0000 richland51: RT @Pallimed: RT @renee_berry: “add 6-7min to deal w/ emotions in outpatient, setting 6-7min to change a life/even a system†@BradHStuart #mcip11 Sat, 26 Feb 2011 19:07:24 +0000 brimcmike: RT @nhdd: 'the agent's job is to make decisions based on the patient's values & goals' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:06:55 +0000 nhdd: btw.. (still @renee_berry here, switched to @NHDD because this talk is about advance care planning) #mcip11 Sat, 26 Feb 2011 19:06:45 +0000
  • 10. brimcmike: RT @nhdd: Doris Hawks JD discussing all of the different terms associated with advance care planning... a lot #mcip11 Sat, 26 Feb 2011 19:06:29 +0000 brimcmike: RT @nhdd: Doris Hawks JD discusses that choices are discussed as preferred treatment, but values & goals help gear focus #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:06:20 +0000 brimcmike: RT @nhdd: 'everybody is selective in what they tell you' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:06:06 +0000 nhdd: 'the agent's job is to make decisions based on the patient's values & goals' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:06:03 +0000 brimcmike: RT @nhdd: 'your job as physicians is to determine capacity, but if you don't capacity is assumed' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:05:32 +0000 brimcmike: RT @GetPalliative: RT @renee_berry "we're in an era now where people realize we need to care for advance illness management" - @BradHStuart #mcip11 #palliative Sat, 26 Feb 2011 19:05:26 +0000 brimcmike: RT @nhdd: 'capacity to consent is complicated but we need to understand when patients do & don't' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:04:43 +0000 brimcmike: RT @nhdd: 'you've got to bring it up, you've got to push your doctor about what you & your family need to know"' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:04:35 +0000 nhdd: Doris Hawks JD discussing all of the different terms associated with advance care planning... a lot #mcip11 Sat, 26 Feb 2011 19:04:18 +0000 brimcmike: RT @nhdd: Important to remember that a condition does not have to trigger you to #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:04:13 +0000 brimcmike: RT @ctsinclair: @westr @renee_berry Also important to know that high dose opioids can be immunosuppressive #mcip11 Sat, 26 Feb 2011 19:03:58 +0000 brimcmike: RT @nhdd: Doris Hawks JD discussing the 'many conditions might trigger an Advance Care Planning discussion' #mcip11 Sat, 26 Feb 2011 19:03:51 +0000 brimcmike: RT @nhdd: Legal & Ethical Issues in Advance Care Planning: Patient’s Right to know & POLST w/ Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:03:45 +0000 brimcmike: RT @ctsinclair: RT @renee_berry: @ctsinclair sorry correction my mistake: Managing Critically Ill Patients (not Chronically) #mcip11 cc @cure_MTM Sat, 26 Feb 2011 19:03:25 +0000 nhdd: Doris Hawks JD discusses that choices are discussed as preferred treatment, but values & goals help gear focus #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 19:02:33 +0000
  • 11. nhdd: 'everybody is selective in what they tell you' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 19:01:39 +0000 brimcmike: RT @ctsinclair: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm "yep. they are not a panacea." #mcip11 Sat, 26 Feb 2011 19:01:26 +0000 brimcmike: RT @westr: LINKS? "RT @renee_berry: poorly controlled #pain affects immune system" Brennan MD - [yes research to support this] #mcip11" -@ctsinclair Sat, 26 Feb 2011 19:01:07 +0000 nhdd: 'it isn't ok that if the patient disagrees with you to then decide that the patient does now lack capacity' Doris Hawks JD #hpm #mcip11 Sat, 26 Feb 2011 19:01:03 +0000 brimcmike: RT @renee_berry: 'our bodies evolve the pain pathway to survive' Brennan MD #hpm (I don't know what this means exactly but sounds interesting) #mcip11 Sat, 26 Feb 2011 19:01:00 +0000 brimcmike: RT @renee_berry: RT @TheRedElm: The Neuroscience of Mindfulness by David Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart #wisdom2conf Sat, 26 Feb 2011 19:00:41 +0000 Pallimed: "Pain Can Kill" article from 1991 John Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immune system Sat, 26 Feb 2011 19:00:17 +0000 brimcmike: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm #mcip11 Sat, 26 Feb 2011 19:00:15 +0000 nhdd: 'your job as physicians is to determine capacity, but if you don't capacity is assumed' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 19:00:09 +0000 GetPalliative: RT @renee_berry "we're in an era now where people realize we need to care for advance illness management" - @BradHStuart #mcip11 #palliative Sat, 26 Feb 2011 19:00:03 +0000 erigentry: RT @westr: "Live Tweets Today from "Managing Chronically Ill Patients 2011" http://ow.ly/43QHQ #mcip11" -via @renee_berry #pm101 #hcsm Sat, 26 Feb 2011 18:59:40 +0000 nhdd: 'capacity to consent is complicated but we need to understand when patients do & don't' Doris Hawks JD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 18:59:32 +0000 nhdd: 'you've got to bring it up, you've got to push your doctor about what you & your family need to know"' Doris Hawks JD #mcip11 Sat, 26 Feb 2011 18:58:57 +0000 westr: "@westr @renee_berry Also important to know that high dose opioids can be immunosuppressive #mcip11" -via @ctsinclair #pm101 Sat, 26 Feb 2011 18:58:43 +0000
  • 12. nhdd: Important to remember that a condition does not have to trigger you to #HaveTheTalk #mcip11 Sat, 26 Feb 2011 18:58:34 +0000 ctsinclair: @westr @renee_berry Also important to know that high dose opioids can be immunosuppressive #mcip11 Sat, 26 Feb 2011 18:58:05 +0000 nhdd: Doris Hawks JD discussing the 'many conditions might trigger an Advance Care Planning discussion' #mcip11 Sat, 26 Feb 2011 18:58:00 +0000 nhdd: Legal & Ethical Issues in Advance Care Planning: Patient’s Right to know & POLST w/ Doris Hawks JD #mcip11 Sat, 26 Feb 2011 18:56:21 +0000 brimcmike: RT @renee_berry: "I know I'm supposed to wrap up, but I'm not going to because this is really important" Brennan MD :) I love speakers w/personality #mcip11 Sat, 26 Feb 2011 18:56:04 +0000 emacartney: @carlaaxt: #mcip11 is an #hpm event at @paloaltomedical 2day w/ Sutter VNA & Hospice & @millspeninsula also presenting http://ow.ly/440By Sat, 26 Feb 2011 18:55:59 +0000 westr: "Live Tweets Today from "Managing Chronically Ill Patients 2011" http://ow.ly/43QHQ #mcip11" -via @renee_berry #pm101 #hcsm Sat, 26 Feb 2011 18:55:51 +0000 brimcmike: RT @renee_berry: 'poorly controlled #pain effects the immune system" Brennan MD #mcip11 Sat, 26 Feb 2011 18:55:18 +0000 brimcmike: RT @renee_berry: 'rare that patients have a clear allergy to #morphine - confusion because of itching skin side effect' Morris, MD MPH #hpm #mcip11 Sat, 26 Feb 2011 18:55:11 +0000 ctsinclair: RT @renee_berry: @ctsinclair sorry correction my mistake: Managing Critically Ill Patients (not Chronically) #mcip11 cc @cure_MTM Sat, 26 Feb 2011 18:55:06 +0000 brimcmike: RT @renee_berry: ‘I don’t plan on getting sick until I die†Morris, MD MPH ... many people can relate, especially our culture :) #hpm #mcip11 Sat, 26 Feb 2011 18:55:02 +0000 brimcmike: RT @renee_berry: Morris, MD MPH talking about collaboration of @PaloAltoMedical w/community to build #palliative outpatient services #awesome #hpm #mcip11 Sat, 26 Feb 2011 18:54:51 +0000 brimcmike: RT @renee_berry: now taking the mic: Morris MD MPH http://ow.ly/43XHY #hpm #mcip11 Sat, 26 Feb 2011 18:54:44 +0000 renee_berry: @ctsinclair sorry correction my mistake: Managing Critically Ill Patients (not Chronically) #mcip11 Sat, 26 Feb 2011 18:54:12 +0000 renee_berry: ‘how many of you came to this for pain control? Doris Hawks JD (only one in audience raised hand) #hpm #mcip11
  • 13. Sat, 26 Feb 2011 18:53:41 +0000 ctsinclair: RT @renee_berry: Live Tweets Today from "Managing Chronically Ill Patients 2011" http://ow.ly/43QHQ #mcip11 "thanks for the info" Sat, 26 Feb 2011 18:53:14 +0000 westr: No real options either! "RT @renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm "yep. they are not a panacea." #mcip11" -via @ctsinclair Sat, 26 Feb 2011 18:52:26 +0000 renee_berry: Legal & Ethical Issues in Advance Care Planning: Patient’s Right to know & POLST w/ Doris Hawks JD @SantaClaraLaw http://ow.ly/43XJl #mcip11 Sat, 26 Feb 2011 18:52:23 +0000 renee_berry: Live Tweets Today from "Managing Chronically Ill Patients 2011" http://ow.ly/43QHQ #mcip11 Sat, 26 Feb 2011 18:51:57 +0000 peds_id_doc: RT @PracticalWisdom: RT @renee_berry:Only 37% MDs give frank prognost disclosure even when a pt requested survival estimate Tapper MD #hpm #epatient #mcip11 #hpm Sat, 26 Feb 2011 18:50:25 +0000 renee_berry: “we (MD's) have to rapidly switch to another opioid (when one is not working)†Brennan MD #hpm #mcip11 Sat, 26 Feb 2011 18:50:21 +0000 Cure_MTM: @ctsinclair Did you find out what #mcip11 stands for? Hi btw I'm QM for VistaCare Hospice in SLC, UT Sat, 26 Feb 2011 18:50:08 +0000 renee_berry: @westr don't have any links for that, any MD's know of clinical research of poorly controlled pain effecting immune system? #hpm #mcip11 Sat, 26 Feb 2011 18:48:47 +0000 carlaaxt: RT @ctsinclair: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm "yep. they are not a panacea." #mcip11 Sat, 26 Feb 2011 18:48:33 +0000 ctsinclair: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm "yep. they are not a panacea." #mcip11 Sat, 26 Feb 2011 18:47:35 +0000 westr: LINKS? "RT @renee_berry: poorly controlled #pain affects immune system" Brennan MD - [yes research to support this] #mcip11" -@ctsinclair Sat, 26 Feb 2011 18:46:32 +0000 renee_berry: 'our bodies evolve the pain pathway to survive' Brennan MD #hpm (I don't know what this means exactly but sounds interesting) #mcip11 Sat, 26 Feb 2011 18:46:28 +0000 renee_berry: RT @TheRedElm: The Neuroscience of Mindfulness by David Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart #wisdom2conf Sat, 26 Feb 2011 18:44:22 +0000 westr: Pray to God that's not true.. RT @renee_berry "poorly controlled #pain effects the immune system" Brennan MD #mcip11 Sat, 26 Feb 2011 18:44:02 +0000
  • 14. renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm #mcip11 Sat, 26 Feb 2011 18:43:11 +0000 carlaaxt: RT @renee_berry: "when you can't cure, healing is all you have" @BradHStuart #hospice #hpm #mcip11 Sat, 26 Feb 2011 18:42:46 +0000 carlaaxt: RT @ctsinclair: Hey @renee_berry what is #mcip11? Good tweets. keep em coming. Sat, 26 Feb 2011 18:42:21 +0000 DoctorGirardi: RT @hollyby: RT @renee_berry: "patients who have this discussion are far less likely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 18:42:12 +0000 renee_berry: "I know I'm supposed to wrap up, but I'm not going to because this is really important" Brennan MD :) I love speakers w/personality #mcip11 Sat, 26 Feb 2011 18:40:59 +0000 ctsinclair: Hey @renee_berry what is #mcip11? Good tweets. keep em coming. Sat, 26 Feb 2011 18:40:39 +0000 Pallimed: RT @renee_berry: “add 6-7min to deal w/ emotions in outpatient, setting 6-7min to change a life/even a system†@BradHStuart #mcip11 Sat, 26 Feb 2011 18:40:10 +0000 ctsinclair: RT @renee_berry: poorly controlled #pain affects the immune system" Brennan MD - [yes there is research to support this] #mcip11 Sat, 26 Feb 2011 18:39:27 +0000 ctsinclair: RT @renee_berry: ‘I don’t plan on getting sick until I die†Morris, MD MPH ... many people can relate, especially our culture :) #mcip11 Sat, 26 Feb 2011 18:39:02 +0000 PalMedConnect: RT @renee_berry: 'poorly controlled #pain effects the immune system" Brennan MD #mcip11 Sat, 26 Feb 2011 18:34:29 +0000 renee_berry: 'poorly controlled #pain effects the immune system" Brennan MD #mcip11 Sat, 26 Feb 2011 18:30:55 +0000 renee_berry: 'rare that patients have a clear allergy to #morphine - confusion because of itching skin side effect' Morris, MD MPH #hpm #mcip11 Sat, 26 Feb 2011 18:28:02 +0000 renee_berry: ‘I don’t plan on getting sick until I die†Morris, MD MPH ... many people can relate, especially our culture :) #hpm #mcip11 Sat, 26 Feb 2011 18:25:38 +0000 emacartney: RT @drpippa: RT @renee_berry: "when you can't cure, healing is all you have" - @BradHStuart spkg at #mcip11 #hospice #hpm Sat, 26 Feb 2011 18:25:35 +0000 renee_berry: Morris, MD MPH talking about collaboration of @PaloAltoMedical w/community to build #palliative outpatient services #awesome #hpm #mcip11 Sat, 26 Feb 2011 18:25:06 +0000 renee_berry: now taking the mic: Morris MD MPH http://ow.ly/43XHY #hpm
  • 15. #mcip11 Sat, 26 Feb 2011 18:24:00 +0000 renee_berry: RT @emacartney: RT @jodyms RT @westr: Well-said! RT @renee_berry #Pain is what the patient reports, not what we think it looks like - via Brennan MD #mcip11 Sat, 26 Feb 2011 18:22:35 +0000 PaloAltoMedical: RT @nhdd: RT @renee_berry: "treatment goals should follow patient's personal goals" - @BradHStuart #HaveTheTalk at #mcip11 Sat, 26 Feb 2011 18:19:47 +0000 drpippa: RT @renee_berry: "when you can't cure, healing is all you have" @BradHStuart #hospice #hpm #mcip11 Sat, 26 Feb 2011 18:18:49 +0000 emacartney: RT @jodyms RT @westr: Well-said! RT @renee_berry #Pain is what the patient reports, not what we think it looks like - via Brennan MD #mcip11 Sat, 26 Feb 2011 18:17:01 +0000 emacartney: @jodyms And to you too! Your voice & advocacy in cancer care, women's health & #hpm is profound! Thank you for joining in #mcip11 today. Sat, 26 Feb 2011 18:16:16 +0000 Nurse2103: RT @renee_berry: "when you can't cure, healing is all you have" @BradHStuart #hospice #hpm #mcip11 Sat, 26 Feb 2011 18:15:54 +0000 Nurse2103: RT @renee_berry: "I find it best to be as honest, open, connected & compassionate as I can possibly be" @BradHStuart #mcip11 Sat, 26 Feb 2011 18:15:45 +0000 Nurse2103: RT @renee_berry: " 90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 18:15:38 +0000 Nurse2103: RT @renee_berry: "when you listen, really listen, not just with your ears, watch your own body & be @ the same side of the table" @BradHStuart #mcip11 Sat, 26 Feb 2011 18:15:33 +0000 Nurse2103: RT @renee_berry: “in other words it’s about listening†@BradHStuart #mcip11 Sat, 26 Feb 2011 18:15:24 +0000 renee_berry: Thanks for staying with me, Brennan MD discussing clinical aspects of pain management (tweet break) will keep ears open for nuggets #mcip11 Sat, 26 Feb 2011 18:14:20 +0000 hcsmSV: RT @nhdd: RT @renee_berry: "treatment goals should follow patient's personal goals" @BradHStuart #HaveTheTalk (spkg at #mcip11) Sat, 26 Feb 2011 18:11:10 +0000 jodyms: RT @westr: Well-said! RT @renee_berry #Pain is what the patient reports, not what we think it looks like via Brennan MD #mcip11 Sat, 26 Feb 2011 18:05:35 +0000 westr: Well-said! RT @renee_berry #Pain is what the patient reports, not what we think it looks like via Brennan MD #mcip11 Sat, 26 Feb 2011 18:04:53 +0000
  • 16. ewidera: RT @renee_berry: "people's hopes evolve" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 18:04:52 +0000 nhdd: "when you listen, really listen not just with your ears, watch your own body & be @ the same side of the table" @BradHStuart #mcip11... Sat, 26 Feb 2011 18:04:36 +0000 nhdd: RT @renee_berry: "treatment goals should follow patient's personal goals" @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 18:03:41 +0000 brimcmike: RT @renee_berry: ‘pain is what the patient reports, not what we think it looks like’ Brennan MD #mcip11 Sat, 26 Feb 2011 18:02:58 +0000 jodyms: @renee_barry @emacartney @brimcmike -- thank you for your tweets this morning. Such good & much needed advocacy:) #hpm #mcip11 Sat, 26 Feb 2011 18:02:42 +0000 renee_berry: ‘pain is what the patient reports, not what we think it looks like’ Brennan MD #mcip11 Sat, 26 Feb 2011 18:02:20 +0000 brimcmike: RT @renee_berry: next: Pain Management w/ Elizabeth Brennan MD http://ow.ly/43XFp & William Morris MD MPH http://ow.ly/43XHY #hpm #mcip11 Sat, 26 Feb 2011 18:02:11 +0000 Nurse2103: RT @renee_berry: ‘What do patients want? They don’t want to be in pain, this is a universal desire’ Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 18:02:07 +0000 brimcmike: RT @renee_berry: "we tend to talk about symptoms & treatment, but even when disease is advanced we tend to stay on that level" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 18:01:56 +0000 brimcmike: RT @renee_berry: "we need to learn that sometimes it's good to stop & say hold on we need to #HaveTheTalk here, it's not easy" @BradHStuart #mcip11 Sat, 26 Feb 2011 18:01:47 +0000 brimcmike: RT @renee_berry: "patients who have this discussion are far less likely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 18:01:31 +0000 Nurse2103: RT @renee_berry: ‘What do patients not? They don’t want to be in pain, this is a universal desire’ Tapper MD #mcip11 Sat, 26 Feb 2011 18:01:28 +0000 brimcmike: RT @renee_berry: "why should we talk about dying, we have data on the fact that it's a good idea & not just morally" @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 18:01:04 +0000 brimcmike: RT @renee_berry: "dollars spent are a measure of what we care about, & we need to think about that" @BradHStuart #hcr #healthcare #hpm #mcip11 Sat, 26 Feb 2011 18:00:53 +0000
  • 17. brimcmike: RT @renee_berry: @BradHStuart highlighting survival data of patients appropriately on hospice live just as long & sometimes longer #hpm #mcip11 Sat, 26 Feb 2011 18:00:39 +0000 brimcmike: RT @renee_berry: 'we must move the focus of care out of the hospital & in to the community so people dont have to be patients' @BradHStuart #hpm #hcr #mcip11 Sat, 26 Feb 2011 18:00:32 +0000 brimcmike: RT @renee_berry: "I find it best to be as honest, open, connected & compassionate as I can possibly be" @BradHStuart #mcip11 Sat, 26 Feb 2011 18:00:09 +0000 renee_berry: next: Pain Management w/ Elizabeth Brennan MD http://ow.ly/43XFp & William Morris MD MPH http://ow.ly/43XHY #hpm #mcip11 Sat, 26 Feb 2011 17:58:21 +0000 hollyby: RT @renee_berry: "patients who have this discussion are far less likely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 17:51:38 +0000 brimcmike: RT @PaloAltoMedical: @renee_berry Thank you! You're doing great live tweeting & amplifying voices so that many more people can to share in the discussion #mcip11 Sat, 26 Feb 2011 17:46:47 +0000 emacartney: RT @renee_berry: "people's hopes evolve" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:46:14 +0000 brimcmike: RT @renee_berry: "The end of a life lives on in the minds of those who care" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:44:13 +0000 brimcmike: RT @renee_berry: "people's hopes evolve" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:43:05 +0000 brimcmike: RT @renee_berry: "treatment goals should follow patient's personal goals" @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:42:44 +0000 emacartney: Daily and dearly! RT @renee_berry: "The end of a life lives on in the minds of those who care" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:42:12 +0000 PaloAltoMedical: @renee_berry Thank you! You're doing great live tweeting & amplifying voices so that many more people can to share in the discussion #mcip11 Sat, 26 Feb 2011 17:40:53 +0000 renee_berry: "The end of a life lives on in the minds of those who care" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:38:45 +0000 renee_berry: "people's hopes evolve" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:37:54 +0000 brimcmike: RT @emacartney: RT @jodyms: RT @renee_berry: “in other words it’s about listening†@BradHStuart #mcip11
  • 18. Sat, 26 Feb 2011 17:37:18 +0000 brimcmike: RT @renee_berry: "when you can't cure, healing is all you have" @BradHStuart #hospice #hpm #mcip11 Sat, 26 Feb 2011 17:36:46 +0000 brimcmike: RT @jodyms: @PracticalWisdom I really wish we were there in person for these discussions. They're terrific @BradHstuart #mcip11 #hpm Sat, 26 Feb 2011 17:36:05 +0000 brimcmike: RT @renee_berry: @PaloAltoMedical Amazing Speakers = Easy Live Tweeting #mcip11 Sat, 26 Feb 2011 17:35:56 +0000 brimcmike: RT @millspeninsula: Yes! RT @renee_berry: "I find it best to be as honest, open, connected & compassionate as I can possibly be" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:35:49 +0000 renee_berry: "treatment goals should follow patient's personal goals" @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:35:26 +0000 emacartney: RT @brimcmike: RT @renee_berry: "our healthcare system should be out in the community" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:35:24 +0000 brimcmike: RT @millspeninsula: If you're interested in learning new perspectives in hospice & palliative care, follow tweets streaming live @ #mcip11 conference now! #hpm Sat, 26 Feb 2011 17:35:21 +0000 brimcmike: RT @renee_berry: " 90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 17:34:43 +0000 SanBrunoCal: RT @millspeninsula: If you're interested in learning new perspectives in hospice & palliative care, follow tweets streaming live @ #mcip11 conference now! #hpm Sat, 26 Feb 2011 17:34:38 +0000 brimcmike: RT @renee_berry: "when you listen, really listen, not just with your ears, watch your own body & be @ the same side of the table" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:34:31 +0000 brimcmike: RT @PaloAltoMedical: Thank you to all now attending and/or tweeting via #mcip11 today. It's wonderful to see the voices raised in #hospice & #palliative care! Sat, 26 Feb 2011 17:34:23 +0000 brimcmike: RT @renee_berry: “add 6-7min to deal with emotions in outpatient, setting 6-7min to change a life, or even a system†@BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:34:14 +0000 brimcmike: RT @renee_berry: “ask before you tell & I’m just teaching this to myself too†@BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:33:54 +0000 brimcmike: RT @PracticalWisdom: Support Self-CareRT @renee_berry: @BradHStuart "we MD's dont like 2 have these discussions, it's hard"
  • 19. #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:33:44 +0000 brimcmike: RT @PracticalWisdom: Diverse Teams Help RT @renee_berry: @BradHStuart "we MD's dont like 2 have these discussions, it's hard" #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:32:47 +0000 brimcmike: RT @renee_berry: “the agenda we have & the agenda that patients & families have come together when we have these discussions†@BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:32:33 +0000 brimcmike: RT @renee_berry: “in other words it’s about listening†@BradHStuart #mcip11 Sat, 26 Feb 2011 17:32:18 +0000 brimcmike: RT @renee_berry: "things are changing, we're in an era now where people realize we need to care for advance illness management" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:32:13 +0000 brimcmike: RT @renee_berry: 'people don’t want to be patients' @BradHStuart #insight #mcip11 Sat, 26 Feb 2011 17:31:26 +0000 brimcmike: RT @renee_berry: ‘our community, our country & our economy all at stake & are all connected†@BradHStuart #hcr #mcip11 Sat, 26 Feb 2011 17:30:49 +0000 brimcmike: RT @renee_berry: "letting patient preference drive care drops cost" @BradHStuart #HaveTheTalk #hpm ... & Improves Patient-Centered Care! #mcip11 Sat, 26 Feb 2011 17:30:43 +0000 brimcmike: RT @renee_berry: "it's our responsibility to communicate about those things" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 17:30:30 +0000 brimcmike: RT @renee_berry: "we need invest in an entirely different model of care than what we're doing" @BradHStuart #hpm #hcr #healthcare #mcip11 Sat, 26 Feb 2011 17:30:25 +0000 PracticalWisdom: Wish I heard this in person~So Moving!RT @renee_berry: "when you cant cure, healing is all you have" @BradHStuart #hospice #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:30:23 +0000 brimcmike: RT @renee_berry: "our healthcare system should be out in the community" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:30:10 +0000 brimcmike: RT @renee_berry: @BradHStuart told the audience to go find out about tweeting & said hi to all of you out of this room (& in tweetchat) #Advocate #mcip11 Sat, 26 Feb 2011 17:30:04 +0000 brimcmike: RT @renee_berry: @BradHStuart expressing gratitude for being able to be here... I'm always impressed w/his humility #hpm #mcip11 Sat, 26 Feb 2011 17:29:40 +0000 PracticalWisdom: Curious (no sarcasm) Is this new Info? RT @renee_berry: "
  • 20. 90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:28:45 +0000 PracticalWisdom: Then HCare Folks to also Listen! RT @renee_berry: " 90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:27:18 +0000 PracticalWisdom: Thankful we now Talk & Listen! RT @renee_berry: "90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:26:06 +0000 PracticalWisdom: Honest! RT @renee_berry: @BradHStuart "we doctors dont like to have these discussions, these things are hard" #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:25:11 +0000 emacartney: RT @jodyms: RT @renee_berry: “in other words it’s about listening†@BradHStuart #mcip11 Sat, 26 Feb 2011 17:24:59 +0000 renee_berry: "when you can't cure, healing is all you have" @BradHStuart #hospice #hpm #mcip11 Sat, 26 Feb 2011 17:24:53 +0000 jodyms: @PracticalWisdom I really wish we were there in person for these discussions. They're terrific @BradHstuart #mcip11 #hpm Sat, 26 Feb 2011 17:24:46 +0000 emacartney: RT @renee_berry: “ask before you tell & I’m just teaching this to myself too†@BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:24:21 +0000 renee_berry: @PaloAltoMedical Amazing Speakers = Easy Live Tweeting #mcip11 Sat, 26 Feb 2011 17:24:17 +0000 millspeninsula: Yes! RT @renee_berry: "I find it best to be as honest, open, connected & compassionate as I can possibly be" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:23:07 +0000 millspeninsula: If you're interested in learning new perspectives in hospice & palliative care, follow tweets streaming live @ #mcip11 conference now! #hpm Sat, 26 Feb 2011 17:22:22 +0000 renee_berry: "I find it best to be as honest, open, connected & compassionate as I can possibly be" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:22:10 +0000 PracticalWisdom: No ? mark-My Bad!RT@renee_berr @BradHStuart survival data/pt's approx Hospice live just as long?sometimes longer #hpm #mcip11 #hpm -12: #hpm Sat, 26 Feb 2011 17:21:24 +0000 renee_berry: " 90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 17:20:19 +0000 renee_berry: "when you listen, really listen, not just with your ears, watch your own body & be @ the same side of the table" @BradHStuart #mcip11
  • 21. Sat, 26 Feb 2011 17:19:36 +0000 PaloAltoMedical: Thank you to all now attending and/or tweeting via #mcip11 today. It's wonderful to see the voices raised in #hospice & #palliative care! Sat, 26 Feb 2011 17:19:07 +0000 doctatum: RT @renee_berry: “add 6-7min to deal with emotions in outpatient, setting 6-7min to change a life, or even a system†@BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:18:45 +0000 renee_berry: “ask before you tell & I’m just teaching this to myself too†@BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:18:11 +0000 PracticalWisdom: Support Self-CareRT @renee_berry: @BradHStuart "we MD's dont like 2 have these discussions, it's hard" #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:17:59 +0000 doctatum: RT @renee_berry: @BradHStuart told the audience to go find out about tweeting & said hi to all of you out of this room (& in tweetchat) #Advocate #mcip11 Sat, 26 Feb 2011 17:17:07 +0000 PracticalWisdom: Diverse Teams Help RT @renee_berry: @BradHStuart "we MD's dont like 2 have these discussions, it's hard" #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:16:39 +0000 jodyms: RT @renee_berry: “the agenda we have & the agenda that patients & families have come together when we have these discussions†@BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:16:21 +0000 jodyms: RT @renee_berry: “in other words it’s about listening†@BradHStuart #mcip11 Sat, 26 Feb 2011 17:16:11 +0000 renee_berry: “in other words it’s about listening†@BradHStuart #mcip11 Sat, 26 Feb 2011 17:15:27 +0000 PracticalWisdom: Acceptance?RT @renee_berry:"pt's who have discussion 4 far less likely 2 b admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:15:12 +0000 renee_berry: “the agenda we have & the agenda that patients & families have come together when we have these discussions†@BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:15:10 +0000 renee_berry: “add 6-7min to deal with emotions in outpatient, setting 6-7min to change a life, or even a system†@BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:14:27 +0000 PracticalWisdom: Saves $/Right thing 2 Do.RT@renee_berr @BradHStuart survival data/pt's approx Hospice live just as long?sometimes longer #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:14:17 +0000
  • 22. renee_berry: "we tend to talk about symptoms & treatment, but even when disease is advanced we tend to stay on that level" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 17:14:12 +0000 renee_berry: "we need to learn that sometimes it's good to stop & say hold on we need to #HaveTheTalk here, it's not easy" @BradHStuart #mcip11 Sat, 26 Feb 2011 17:11:08 +0000 renee_berry: @BradHStuart "we doctors don't like to have these discussions, these things are hard" #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 17:09:46 +0000 renee_berry: "patients who have this discussion are far less likely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 17:09:14 +0000 renee_berry: "people who aren't yet patients thinking this through are less likely to become patients" @BradHStuart #HaveTheTalk Early #mcip11 Sat, 26 Feb 2011 17:08:00 +0000 emacartney: If you are intrested in new perspectives in hospice & palliative care, @renee_berry is live tweeting at @paloaltomedical right now #mcip11 Sat, 26 Feb 2011 17:07:44 +0000 PracticalWisdom: Remarkable statement:RT @renee_berry: "its our responsibility to communicate about those things" @BradHStuart #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 17:07:33 +0000 renee_berry: "why should we talk about dying, we have data on the fact that it's a good idea & not just morally" @BradHStuart #HaveTheTalk #mcip11 Sat, 26 Feb 2011 17:07:15 +0000 emacartney: RT @renee_berry: 'we must move the focus of care out of hospital & in to the community so ppl dont have to be patients' @BradHStuart #mcip11 Sat, 26 Feb 2011 17:05:56 +0000 renee_berry: "dollars spent are a measure of what we care about, & we need to think about that" @BradHStuart #hcr #healthcare #hpm #mcip11 Sat, 26 Feb 2011 17:05:07 +0000 emacartney: MT @renee_berry: @BradHStuart told the audience to find out about tweeting & said hi to all of you outside of this room tweeting #mcip11 Sat, 26 Feb 2011 17:04:12 +0000 renee_berry: @BradHStuart highlighting survival data of patients appropriately on hospice live just as long & sometimes longer #hpm #mcip11 Sat, 26 Feb 2011 17:03:58 +0000 jodyms: RT @renee_berry: 'we must move the focus of care out of the hospital & in to the community so people dont have to be patients' @BradHStuart #hpm #hcr #mcip11 Sat, 26 Feb 2011 17:03:46 +0000 renee_berry: 'we must move the focus of care out of the hospital & in to the community so people dont have to be patients' @BradHStuart #hpm #hcr #mcip11 Sat, 26 Feb 2011 17:02:39 +0000 renee_berry: RT @emacartney: @practicalwisdom Thank you for adding your meaningful comments to the discussion. Appreciate learning from you! #mcip11
  • 23. Sat, 26 Feb 2011 17:01:18 +0000 renee_berry: 'people don’t want to be patients' @BradHStuart #insight #mcip11 Sat, 26 Feb 2011 17:00:40 +0000 emacartney: @practicalwisdom Thank you for adding your meaningful comments to the discussion. Appreciate learning from you! #mcip11 Sat, 26 Feb 2011 16:59:50 +0000 renee_berry: ‘our community, our country & our economy all at stake & are all connected†@BradHStuart #hcr #mcip11 Sat, 26 Feb 2011 16:58:18 +0000 PracticalWisdom: Thanks for sharing this Point.RT @renee_berry: @BradHStuart expressing gratitude 4 being here. impressed w/his humility #hpm #mcip11 #hpm Sat, 26 Feb 2011 16:57:57 +0000 Kaviraj2: RT @renee_berry: “accurate predication of #prognosis is important for good clinical decision making†Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:57:53 +0000 Kaviraj2: RT @renee_berry: ‘What do patients want? They don’t want to be in pain, this is a universal desire’ Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:57:22 +0000 renee_berry: "letting patient preference drive care drops cost" @BradHStuart #HaveTheTalk #hpm ... & Improves Patient-Centered Care! #mcip11 Sat, 26 Feb 2011 16:57:05 +0000 Kaviraj2: RT @renee_berry: “biopsychological failure -I think we all have that, I may have had it this morning’ Tapper MD keeping the audience smiling #mcip11 Sat, 26 Feb 2011 16:57:01 +0000 PracticalWisdom: The Truly Classy folks R Humble!RT @renee_berry: @BradHStuart expressing gratitude 4 being here.. Impressed w/his humility #hpm #mcip11 #hpm Sat, 26 Feb 2011 16:57:00 +0000 dmteachey1: RT @renee_berry: “I ask do you want to know what death might look like for you, most of the times patients say yes†Tapper MD #hpm #HaveTheTalk #mcip11 Sat, 26 Feb 2011 16:56:32 +0000 renee_berry: "it's our responsibility to communicate about those things" @BradHStuart #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:56:08 +0000 renee_berry: "we need invest in an entirely different model of care than what we're doing" @BradHStuart #hpm #hcr #healthcare #mcip11 Sat, 26 Feb 2011 16:55:40 +0000 renee_berry: "our healthcare system should be out in the community" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 16:55:09 +0000 PracticalWisdom: http://bit.ly/elFIdDRT @renee_berry: “more people are getting CPR & more people are dying from it†Tapper MD#HaveTheTalk #hpm #mcip11 #hpm
  • 24. Sat, 26 Feb 2011 16:54:34 +0000 renee_berry: @BradHStuart told the audience to go find out about tweeting & said hi to all of you out of this room (& in tweetchat) #Advocate #mcip11 Sat, 26 Feb 2011 16:54:25 +0000 brimcmike: RT @renee_berry: Tapper MD says “was asked to go in for goals of care consultation but patient was w/in hours of dying" #HaveTheTalk Early #mcip11 Sat, 26 Feb 2011 16:53:10 +0000 brimcmike: RT @renee_berry: “In hospital CPR ... MD’s ask do you want everything done or nothing done†Tapper MD (Language & Communication #crucial) #mcip11 Sat, 26 Feb 2011 16:53:05 +0000 renee_berry: "things are changing, we're in an era now where people realize we need to care for advance illness management" @BradHStuart #hpm #mcip11 Sat, 26 Feb 2011 16:52:59 +0000 brimcmike: RT @renee_berry: 'There are a lot of non-verbal ways that patients show pain' Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:52:34 +0000 renee_berry: @BradHStuart expressing gratitude for being able to be here... I'm always impressed w/his humility #hpm #mcip11 Sat, 26 Feb 2011 16:50:37 +0000 PracticalWisdom: They might not even be aware of this.RT @renee_berry: There are a lot of non-verbal ways that patients show pain Tapper MD #hpm #mcip11 #hpm Sat, 26 Feb 2011 16:50:09 +0000 brimcmike: RT @renee_berry: “biopsychological failure -I think we all have that, I may have had it this morning’ Tapper MD keeping the audience smiling #mcip11 Sat, 26 Feb 2011 16:47:29 +0000 brimcmike: RT @renee_berry: ‘What do patients want? They don’t want to be in pain, this is a universal desire’ Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:47:18 +0000 renee_berry: Tapper MD says “was asked to go in for goals of care consultation but patient was w/in hours of dying" #HaveTheTalk Early #mcip11 Sat, 26 Feb 2011 16:47:11 +0000 brimcmike: RT @renee_berry: “accurate predication of #prognosis is important for good clinical decision making†Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:46:59 +0000 renee_berry: “more people are getting CPR & more people are dying from it†Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:45:25 +0000 renee_berry: “In hospital CPR ... MD’s ask do you want everything done or nothing done†Tapper MD (Language & Communication #crucial) #mcip11 Sat, 26 Feb 2011 16:45:00 +0000 PracticalWisdom: We need more $/research=Pain Manag. RT
  • 25. @renee_berry:They don’t want to be in pain, this is a universal desire’ Tapper MD #hpm #mcip11 #hpm Sat, 26 Feb 2011 16:44:30 +0000 renee_berry: 'There are a lot of non-verbal ways that patients show pain' Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:43:32 +0000 renee_berry: Tried to set up what the hashtag for some stats, is it working for anyone? (my comps being slow) http://wthashtag.com/Mcip11 #mcip11 Sat, 26 Feb 2011 16:42:02 +0000 renee_berry: “biopsychological failure -I think we all have that, I may have had it this morning’ Tapper MD keeping the audience smiling #mcip11 Sat, 26 Feb 2011 16:39:58 +0000 renee_berry: ‘What do patients want? They don’t want to be in pain, this is a universal desire’ Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:35:37 +0000 renee_berry: sorry everyone next tweet is correcting a typo, I put what do patients not, it's what do patients want... #mcip11 Sat, 26 Feb 2011 16:35:20 +0000 renee_berry: “accurate predication of #prognosis is important for good clinical decision making†Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:34:42 +0000 emacartney: RT @renee_berry: “I ask do you want to know what death might look like for you, most of the times patients say yes†Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:34:03 +0000 brimcmike: RT @renee_berry: ‘Dying quietly in our sleep happens only 10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:30:49 +0000 renee_berry: “I ask do you want to know what death might look like for you, most of the times patients say yes†Tapper MD #hpm #HaveTheTalk #mcip11 Sat, 26 Feb 2011 16:30:44 +0000 brimcmike: RT @renee_berry: Tapper MD 'prognostication one of 4 Cardinal clinical skills, disease prevention, diagnosis, therapy, & ->prognostication' #hpm #mcip11 Sat, 26 Feb 2011 16:30:34 +0000 PracticalWisdom: Profound RT @emacartney: RT @renee_berry: ‘Dying quietly in our sleep happens only 10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11 #hpm Sat, 26 Feb 2011 16:30:21 +0000 brimcmike: RT @renee_berry: ‘until we are comfortable with prognostication, our patients will not be comfortable talking about it either’ Tapper MD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 16:30:16 +0000 brimcmike: RT @renee_berry: ‘when I went to medical school I got no education about prognostication’ Tapper MD #meded #hpm #mcip11 Sat, 26 Feb 2011 16:30:10 +0000 brimcmike: RT @renee_berry: Sharon Tapper MD tells a story of another clinician giving her feedback that Prognostication was 'boring' .. she disagrees
  • 26. #mcip11 Sat, 26 Feb 2011 16:30:04 +0000 brimcmike: RT @renee_berry: "start thinking about illness trajectories" Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:29:34 +0000 brimcmike: RT @renee_berry: ‘What do patients not? They don’t want to be in pain, this is a universal desire’ Tapper MD #mcip11 Sat, 26 Feb 2011 16:29:30 +0000 brimcmike: RT @renee_berry: 'Only 37% of MDs give frank prognostication disclosure even when a patient requested a survival estimate' Tapper MD #hpm #epatient #mcip11 Sat, 26 Feb 2011 16:29:22 +0000 renee_berry: @Kaviraj2 & @brimcmike Thanks for joining!! (Presentation got slightly technical/medical last few min, stay tuned... :) #mcip11 Sat, 26 Feb 2011 16:28:13 +0000 renee_berry: @PracticalWisdom right?! She's doing a great job really using language that speaks to early access to comfort focused care #mcip11 Sat, 26 Feb 2011 16:27:13 +0000 jodyms: RT @emacartney: RT @renee_berry: ‘Dying quietly in our sleep happens only 10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:24:49 +0000 PracticalWisdom: RT @renee_berry:Only 37% MDs give frank prognost disclosure even when a pt requested survival estimate Tapper MD #hpm #epatient #mcip11 #hpm Sat, 26 Feb 2011 16:24:20 +0000 emacartney: RT @renee_berry: ‘Dying quietly in our sleep happens only 10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:23:38 +0000 brimcmike: Following spkrs at #mcip11 Managing Critically Ill Patients @ EOL @renee_berry will be live tweeting after 8am PST http://ow.ly/43Xoa #hpm Sat, 26 Feb 2011 16:23:03 +0000 renee_berry: ‘Dying quietly in our sleep happens only 10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11 Sat, 26 Feb 2011 16:21:31 +0000 emacartney: RT @renee_berry: ‘What do patients not? They don’t want to be in pain, this is a universal desire’ Tapper MD #mcip11 Sat, 26 Feb 2011 16:21:07 +0000 PracticalWisdom: Great Title! RT @renee_berry: Is This a Bad Day or My Last Day? The Art & Science of Prognostication w/ Sharon Tapper MD #hpm #mcip11 #hpm Sat, 26 Feb 2011 16:20:31 +0000 Kaviraj2: RT @renee_berry: Tapper MD 'prognostication one of 4 Cardinal clinical skills, disease prevention, diagnosis, therapy, & ->prognostication' #hpm #mcip11 Sat, 26 Feb 2011 16:20:01 +0000 PracticalWisdom: New Opportunity RT @renee_berry: ‘when I went to medical school I got no education about prognostication’ Tapper MD #meded #hpm #mcip11 #hpm
  • 27. Sat, 26 Feb 2011 16:19:55 +0000 renee_berry: "start thinking about illness trajectories" Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:19:47 +0000 Kaviraj2: RT @renee_berry: ‘What do patients not? They don’t want to be in pain, this is a universal desire’ Tapper MD #mcip11 Sat, 26 Feb 2011 16:18:56 +0000 renee_berry: 'Only 37% of MDs give frank prognostication disclosure even when a patient requested a survival estimate' Tapper MD #hpm #epatient #mcip11 Sat, 26 Feb 2011 16:17:44 +0000 renee_berry: ‘What do patients not? They don’t want to be in pain, this is a universal desire’ Tapper MD #mcip11 Sat, 26 Feb 2011 16:15:02 +0000 renee_berry: @PracticalWisdom I'm planning to use hpm on my favorite quotes, feel free to do whatever works for you #mcip11 Sat, 26 Feb 2011 16:13:50 +0000 renee_berry: ‘until we are comfortable with prognostication, our patients will not be comfortable talking about it either’ Tapper MD #HaveTheTalk #mcip11 Sat, 26 Feb 2011 16:13:17 +0000 renee_berry: ‘when I went to medical school I got no education about prognostication’ Tapper MD #meded #hpm #mcip11 Sat, 26 Feb 2011 16:12:45 +0000 renee_berry: Tapper MD 'prognostication one of 4 Cardinal clinical skills, disease prevention, diagnosis, therapy, & ->prognostication' #hpm #mcip11 Sat, 26 Feb 2011 16:11:04 +0000 PracticalWisdom: Should we use #hpm or #mcip11 #hpm Sat, 26 Feb 2011 16:10:10 +0000 renee_berry: Sharon Tapper MD tells a story of another clinician giving her feedback that Prognostication was 'boring' .. she disagrees #mcip11 Sat, 26 Feb 2011 16:09:30 +0000 PaloAltoMedical: RT @renee_berry Welcome by Sharon Tapper MD thanking sponsors @paloaltomedical @millspeninsula Sutter VNA Hospice http://ow.ly/43Xln #mcip11 Sat, 26 Feb 2011 16:08:03 +0000 renee_berry: Is This a Bad Day or My Last Day? The Art & Science of Prognostication w/ Sharon Tapper MD #hpm #mcip11 Sat, 26 Feb 2011 16:07:34 +0000 PracticalWisdom: @jodyms: Good Morning! Excited you are here too. Lots of Smart, Kind and Wise Ladies. ;<) #mcip11 Sat, 26 Feb 2011 16:07:17 +0000 renee_berry: @jodyms of course! #mcip11 Sat, 26 Feb 2011 16:07:15 +0000 renee_berry: RT @jodyms: @renee_berry @emacartney Thanks for letting me
  • 28. know about #mcip11:) #hpm Sat, 26 Feb 2011 16:07:03 +0000 emacartney: Following spkrs at #mcip11 today on #hpm care. @renee_berry will be live tweeting after 8am PST if you wish to join in! http://ow.ly/43Xoa Sat, 26 Feb 2011 16:05:16 +0000 nhdd: RT @emacartney Live #hpm tweets today http://ow.ly/43Wh4 Follow #mcip11 Sat, 26 Feb 2011 16:05:03 +0000 jodyms: @renee_berry @emacartney Thanks for letting me know about #mcip11:) #hpm Sat, 26 Feb 2011 16:04:52 +0000 renee_berry: Welcome by Sharon Tapper, MD thanking sponsors @PaloAltoMedical @MillsPeninsula & Sutter VNA #Hospice http://ow.ly/43Xln #mcip11 Sat, 26 Feb 2011 16:04:31 +0000 PracticalWisdom: @emacartney Erin, Thank you again for your wonderful Acts of Kindness this week. I"m sure this will be Grand! #mcip11 Sat, 26 Feb 2011 16:04:14 +0000 PracticalWisdom: Silly U R a sharp Crayon in the BoxRT @renee_berry: @PracticalWisdom youre welcome!! Hope I can keep up with these awesome speakers! #mcip11 Sat, 26 Feb 2011 16:01:41 +0000 PracticalWisdom: Looking forward to the Rumble and Fast Fingers, Keen MInds, Big Heats #mcip11 Sat, 26 Feb 2011 16:00:43 +0000 emacartney: @practicalwisdom Yes! Wouldn't miss it. Looking fwd to following your and others' tweets and learning! #mcip11 Sat, 26 Feb 2011 16:00:10 +0000 PracticalWisdom: Getting Ready to rumble: Oh Ya. http://www.youtube.com/watch?v=uAIAET2e2y8 #mcip11 Sat, 26 Feb 2011 15:59:29 +0000 renee_berry: @PracticalWisdom you're welcome!! Hope I can keep up with these awesome speakers! #mcip11 Sat, 26 Feb 2011 15:58:44 +0000 renee_berry: RT @PracticalWisdom: @renee_berry thank you for the invitation to tweet. #mcip11 Sat, 26 Feb 2011 15:58:15 +0000 PracticalWisdom: emacartney-Erin are you going to Tweet with us this morning. Crossing my Fingers #mcip11 Sat, 26 Feb 2011 15:57:16 +0000 visiting_nurse: RT @PaloAltoMedical: We're presenting an #hpm event today w/Sutter Hospice & VNA and @millspeninsula http://ow.ly/43WTZ. Live tweets via #mcip11 starting 8am PST Sat, 26 Feb 2011 15:56:19 +0000 PracticalWisdom: @renee_berry thank you for the invitation to tweet. #mcip11 Sat, 26 Feb 2011 15:56:18 +0000
  • 29. PaloAltoMedical: We're presenting an #hpm event today w/Sutter Hospice & VNA and @millspeninsula http://ow.ly/43WTZ. Live tweets via #mcip11 starting 8am PST Sat, 26 Feb 2011 15:42:31 +0000 millspeninsula: We're co-presenting an #hpm event today w/@paloaltomedical and Sutter Hospice & VNA. You can follow via #mcip11 on twitter starting @ 8a PST Sat, 26 Feb 2011 15:32:18 +0000 hcsmSV: RT @renee_berry: Just arrived at #mcip11 http://ow.ly/43QHQ #hpm (Live tweets starting soon after 8a PST) Sat, 26 Feb 2011 15:21:02 +0000 emacartney: RT @renee_berry Just arrived at #mcip11 http://ow.ly/43QHQ #hpm (Live tweets starting soon after 8a PST) Sat, 26 Feb 2011 15:19:32 +0000 hcsmSV: @renee_berry is Live tweeting today at #hpm event presented by @paloaltomedical @millspeninsula @SutterHealth http://ow.ly/43Wqr #mcip11 Sat, 26 Feb 2011 15:18:23 +0000 emacartney: Live #hpm tweets today via @renee_berry http://ow.ly/43Wh4 w/ @PaloAltoMedical @MillsPeninsula @SutterHealth. Follow #mcip11 Sat, 26 Feb 2011 15:12:57 +0000 renee_berry: Just arrived at #mcip11 http://ow.ly/43QHQ #hpm (Live tweets starting soon after 8a PST) Sat, 26 Feb 2011 15:12:36 +0000 renee_berry: Live #hpm Tweets Tomorrow http://ow.ly/43QHQ #mcip11 w/ @PaloAltoMedical @MillsPeninsula @SutterHealth Sat, 26 Feb 2011 06:54:16 +0000 TweetReach is presented by Appozite at www.tweetreach.com • TweetReach is not affiliated with Twitter.